Provider Demographics
NPI:1043637846
Name:AUCLEM HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:AUCLEM HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:UGOCHUKWU
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:310-652-5203
Mailing Address - Street 1:1501 S LA CIENEGA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3711
Mailing Address - Country:US
Mailing Address - Phone:310-652-5203
Mailing Address - Fax:310-657-4220
Practice Address - Street 1:454 E CARSON PLAZA DR STE 218
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3235
Practice Address - Country:US
Practice Address - Phone:310-652-5203
Practice Address - Fax:310-657-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child