Healthcare Provider Details

I. General information

NPI: 1376732487
Provider Name (Legal Business Name): RJR CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11251 NATIONAL BLVD
LOS ANGELES CA
90064-3921
US

IV. Provider business mailing address

11251 NATIONAL BLVD
LOS ANGELES CA
90064-3921
US

V. Phone/Fax

Practice location:
  • Phone: 310-943-5400
  • Fax:
Mailing address:
  • Phone: 310-943-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. AZITA ABRAMS
Title or Position: C.F.O.
Credential:
Phone: 310-943-5400