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Organization
13333 FENTON AVE LLC
Active
Organization
13333 FENTON AVE LLC
Active
Other names
MOUNTAIN VIEW CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY WAFA (DIRECTOR OF PATIENT ACCOUNTING)
(714) 533-7818
Entity
Organization
Contact information
Practice address
13333 FENTON AVE, SYLMAR, CA 91342-3113
(818) 367-1033
(818) 367-1394
Mailing address
13333 FENTON AVE, SYLMAR, CA 91342-3113
(818) 367-1033
(818) 367-1394
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70167F
—
CA
05
—
ZZT05863I
—
CA
Enumeration date
09/19/2005
Last updated
01/20/2010
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