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Organization
VALLEY VISTA RESIDENTIAL MANOR LLC
Active
Organization
VALLEY VISTA RESIDENTIAL MANOR LLC
Active
Other names
VALLEY MANOR GUEST HOME
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER PO (CEO)
(949) 648-2737
Entity
Organization
Contact information
Practice address
6130 VINELAND AVE, NORTH HOLLYWOOD, CA 91606-4914
(818) 766-8161
(818) 643-8753
Mailing address
6130 VINELAND AVE, NORTH HOLLYWOOD, CA 91606-4914
(949) 648-2737
(949) 608-1588
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
03/26/2020
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