# VILLA SCALABRINI RETIREMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FATHERS OF ST. CHARLES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538221288
- **Authorized official:** MR. ARDY AFSHAR (CFO)
- **Authorized official phone:** (818) 768-6500

## Contact information

- **Practice address:** 10631 VINEDALE ST, SUN VALLEY, CA 91352-2825
- **Practice address phone:** (818) 768-6500
- **Practice address fax:** (818) 768-0684
- **Mailing address:** 10631 VINEDALE ST, SUN VALLEY, CA 91352-2825
- **Mailing address phone:** (818) 768-6500
- **Mailing address fax:** (818) 768-0684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000120 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 06/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC90058F | — | CA |