# BEN CONGREGATE LIVING INC

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

## Provider details

- **NPI number:** 1417297169
- **Authorized official:** VARDAN ASIKIAN (CEO)
- **Authorized official phone:** (818) 765-7064

## Contact information

- **Practice address:** 6622 BEN AVE, NORTH HOLLYWOOD, CA 91606-1511
- **Practice address phone:** (818) 765-7064
- **Practice address fax:** (818) 765-7067
- **Mailing address:** 6622 BEN AVE, NORTH HOLLYWOOD, CA 91606-1511
- **Mailing address phone:** (818) 765-7064
- **Mailing address fax:** (818) 765-7067

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2013
- **Last updated:** 02/17/2013