# CHOICE RESPICARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa Balboa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750783460
- **Authorized official:** MRS. TATYANA DEKADOKH (CFO)
- **Authorized official phone:** (818) 891-2273

## Contact information

- **Practice address:** 16714 PARTHENIA ST, NORTHRIDGE, CA 91343-4609
- **Practice address phone:** (818) 891-2273
- **Practice address fax:** (323) 654-2104
- **Mailing address:** 16714 PARTHENIA ST, NORTHRIDGE, CA 91343-4609
- **Mailing address phone:** (818) 891-2273
- **Mailing address fax:** (323) 654-2104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 09/24/2014