MEDICARE: LUNNS HOPE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	190554AP	CA

General Provider Information

NPI Number	:	1700067600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNNS HOPE CORPORATION

Provider Business Mailing Address
First Line	:	959 N LA BREA AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-2207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	959 N LA BREA AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-2207
Country	:	US
Telephone Number	:	310-677-1222
Fax Number	:	310-677-1199

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. LOUIS NWEZE NWOKE
Credential	:
Telephone Number	:	310-677-1222

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	04/20/2008

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Directions to “LUNNS HOPE CORPORATION ” Practice Location

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