| Croft Living Home, Inc. | |
|
458 N Croft Ave Los Angeles CA 90048-2509 | |
| (323) 655-5060 | |
| (323) 651-1461 |
| Full Name | Croft Living Home, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 458 N Croft Ave, Los Angeles, California |
| Authorized Official Name and Position | Shady Borna (PRESIDENT) |
| Authorized Official Contact | 3236555060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Croft Living Home, Inc. 458 N Croft Ave Los Angeles CA 90048-2509 Ph: (323) 655-5060 | Croft Living Home, Inc. 458 N Croft Ave Los Angeles CA 90048-2509 Ph: (323) 655-5060 |
| NPI Number | 1003249822 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003249822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 550002351 (California) | Primary |
News Archive
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