| NPI | 1679396352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIT ZARGARYAN Manager 818-307-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |