Provider Demographics
NPI:1295815108
Name:S R QUALITY ASSISTED LIVING INC.
Entity Type:Organization
Organization Name:S R QUALITY ASSISTED LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:WASHINGTON-JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-867-8929
Mailing Address - Street 1:1543 W 80TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-2843
Mailing Address - Country:US
Mailing Address - Phone:323-867-8929
Mailing Address - Fax:
Practice Address - Street 1:1543 W 80TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-2843
Practice Address - Country:US
Practice Address - Phone:323-867-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2771224251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services