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Organization

VINTAGE CONGREGATE LIVING

Active
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Organization

VINTAGE CONGREGATE LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAMAZASP KHUDOYAN (PRESIDENT)
(818) 983-2224
Entity
Organization

Contact information

Practice address
18122 VINTAGE ST, NORTHRIDGE, CA 91325-1052
(818) 983-2224
Mailing address
18122 VINTAGE ST, NORTHRIDGE, CA 91325-1052

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—

Other

Enumeration date
08/10/2026
Last updated
08/10/2026
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