# 13000 VICTORY BOULEVARD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Gardens Healthcare Center of the Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689653289
- **Authorized official:** MR. ASH CHAWLA (VP, FINANCE)
- **Authorized official phone:** (301) 385-1090

## Contact information

- **Practice address:** 13000 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2926
- **Practice address phone:** (818) 985-5990
- **Practice address fax:** (818) 985-6482
- **Mailing address:** 13000 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2926
- **Mailing address phone:** (818) 985-5990
- **Mailing address fax:** (818) 985-6482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000079 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 03/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05938L | — | CA |