MEDICARE: ABILITIES RECOVERY CENTER INC

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	261QR0800X	Recovery Care Clinic/Center

General Provider Information

NPI Number	:	1700411436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITIES RECOVERY CENTER INC

Provider Business Mailing Address
First Line	:	2285 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2017
Country	:	US
Telephone Number	:	310-948-4948
Fax Number	:

Provider Business Practice Location Address
First Line	:	2285 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2017
Country	:	US
Telephone Number	:	310-948-4948
Fax Number	:

Authorized Official
Title or Position	:	EXERCISE PHYSIOLOGIST
Name	:	MISS LEANNE MARGARET CREMIN
Credential	:
Telephone Number	:	310-948-4948

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	03/03/2020

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