| Homes For Life Foundation - Madison House | |
|
489 N Madison Ave Pasadena CA 91101-1123 | |
| (310) 337-7417 | |
| Not Available |
| Full Name | Homes For Life Foundation - Madison House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 489 N Madison Ave, Pasadena, California |
| Authorized Official Name and Position | Deborah Gibson (QA & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3103377417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homes For Life Foundation - Madison House 8939 S Sepulveda Blvd Ste 460 Los Angeles CA 90045-3653 Ph: () - | Homes For Life Foundation - Madison House 489 N Madison Ave Pasadena CA 91101-1123 Ph: (310) 337-7417 |
| NPI Number | 1033343561 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033343561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 191222591 (California) | Primary |
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