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Organization
VILLA CALIFORNIA MANAGEMENT LLC
Active
Organization
VILLA CALIFORNIA MANAGEMENT LLC
Active
Other names
California Green Tree Villa
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WATANABE (DIRECTOR)
(213) 326-9208
Entity
Organization
Contact information
Practice address
6728 SEPULVEDA BLVD, VAN NUYS, CA 91411-1248
(818) 781-6348
Mailing address
6728 SEPULVEDA BLVD, VAN NUYS, CA 91411-1248
(818) 781-6348
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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