# HEAVENLY MANOR INC

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

## Provider details

- **NPI number:** 1750101184
- **Authorized official:** MR. STEPAN STEVE AMIRIAN (PRESIDENT)
- **Authorized official phone:** (818) 653-6440

## Contact information

- **Practice address:** 9742 HASKELL AVE, NORTH HILLS, CA 91343-2017
- **Practice address phone:** (818) 653-6440
- **Mailing address:** 9742 HASKELL AVE, NORTH HILLS, CA 91343-2017
- **Mailing address phone:** (818) 653-6440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024