# VALLEY GRACE HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043691371
- **Authorized official:** GREGORY MIKITARIAN (CFO)
- **Authorized official phone:** (818) 791-4182

## Contact information

- **Practice address:** 16052 CHASE ST, NORTH HILLS, CA 91343
- **Practice address phone:** (818) 305-6255
- **Practice address fax:** (818) 305-6252
- **Mailing address:** 16052 CHASE ST, NORTH HILLS, CA 91343-6308
- **Mailing address phone:** (818) 305-6255
- **Mailing address fax:** (818) 305-6252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2015
- **Last updated:** 10/17/2024