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Organization
WELL CARE CONGREGATE LIVING HEALTH FACILITY, INC
Active
Organization
WELL CARE CONGREGATE LIVING HEALTH FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGANES AZATYAN (CEO)
(818) 646-1138
Entity
Organization
Contact information
Practice address
14926 VOSE ST., VAN NUYS, CA 91405
(818) 646-1138
(818) 646-1139
Mailing address
14926 VOSE ST., VAN NUYS, CA 91405
(818) 646-1138
(818) 646-1139
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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