Board and Care Supplies
Restricted
Board and Care Supplies is subject to Restricted. See the individual lists below.
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Aliases
- Lax, Robert
Address
11101 South Hindry Ave., Los Angeles, CA
ID Details
ID NUMBER : DME01068F
ID TYPE : provider_number
View Notes
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Board and Care Supplies Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The California Department of Health Care Services | Apr 21, 1995 | active |
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