Healthcare Provider Details

I. General information

NPI: 1255253233
Provider Name (Legal Business Name): POISED CARE HOUSING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W OLYMPIC BLVD
LOS ANGELES CA
90006-3705
US

IV. Provider business mailing address

2001 W OLYMPIC BLVD
LOS ANGELES CA
90006-3705
US

V. Phone/Fax

Practice location:
  • Phone: 909-210-0365
  • Fax: 562-202-5009
Mailing address:
  • Phone: 909-210-0365
  • Fax: 562-202-5009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRIA MARAVILLA DUFRENNE
Title or Position: DIRECTOR
Credential: RN
Phone: 909-210-0365