Provider Demographics
NPI:1689815946
Name:EXCEPTIONAL CHILDREN'S FOUNDATION
Entity Type:Organization
Organization Name:EXCEPTIONAL CHILDREN'S FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-204-3300
Mailing Address - Street 1:8740 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2322
Mailing Address - Country:US
Mailing Address - Phone:310-204-3300
Mailing Address - Fax:310-845-8001
Practice Address - Street 1:10918 BARMAN AVE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4205
Practice Address - Country:US
Practice Address - Phone:310-559-0922
Practice Address - Fax:310-559-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000753315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities