Provider Demographics
NPI:1427220045
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:ADMINISTRATOR
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 APT 4
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:# 4
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:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child