# PROACTIVE CARE CLHF

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

## Provider details

- **NPI number:** 1437615119
- **Authorized official:** MAGGIE BALYAN (CEO)
- **Authorized official phone:** (818) 616-2404

## Contact information

- **Practice address:** 40648 13TH ST W, PALMDALE, CA 93551-2105
- **Practice address phone:** (818) 616-2404
- **Practice address fax:** (800) 730-8558
- **Mailing address:** 40648 13TH ST W, PALMDALE, CA 93551-2105
- **Mailing address phone:** (818) 616-2404
- **Mailing address fax:** (800) 730-8558

## Taxonomy

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

## Other

- **Enumeration date:** 02/18/2019
- **Last updated:** 02/18/2019