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Organization
INDEPENDENT LIVING CENTER OF SOUTHERN CALIFORNIA
Active
Organization
INDEPENDENT LIVING CENTER OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA JEAN VESCOVO (EXECUTIVE DIRECTOR)
(818) 785-6934
Entity
Organization
Contact information
Practice address
14407 GILMORE ST, #101, VAN NUYS, CA 91401-1400
(818) 785-6934
(818) 785-0330
Mailing address
14407 GILMORE ST, #101, VAN NUYS, CA 91401-1400
(818) 785-6934
(818) 785-0330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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