ICF LA LLC 1710637426

Name: ICF LA LLC Specialty: Intellectual Disabilities Intermediate Care Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:

Practice Type: Nursing & Custodial Care Facilities Classification: Intermediate Care Facility, Mentally Retarded Specialization: . Definition of Specialty: (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

License #(s): , , , , License State(s): , , , ,

Practice Location: ICF LA LLC,6631 CLEON AVE,NORTH HOLLYWOOD,CA,916062109,US Mailing Address: ICF LA LLC,6631 CLEON AVE,NORTH HOLLYWOOD,CA,916062109,US

Practice location phone #: 3236800686 Practice location fax #: Mailing address Phone #: 3236800686 Mailing Address fax #: 8189360796 Authorized official Name/Telephone #:MR., ARON, H, PETROSIAN, CEO 3236800686

Date NPI was obtained: 03/25/2022 Last data data was updated: 03/28/2022 Insurances: