| NPI | 1548804255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIT ZARGARYAN Administrator 818-307-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-11-01 |