# WELL CARE CONGREGATE LIVING HEALTH FACILITY, INC

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

## Provider details

- **NPI number:** 1922534916
- **Authorized official:** MR. OGANES AZATYAN (CEO)
- **Authorized official phone:** (818) 646-1138

## Contact information

- **Practice address:** 14926 VOSE ST., VAN NUYS, CA 91405
- **Practice address phone:** (818) 646-1138
- **Practice address fax:** (818) 646-1139
- **Mailing address:** 14926 VOSE ST., VAN NUYS, CA 91405
- **Mailing address phone:** (818) 646-1138
- **Mailing address fax:** (818) 646-1139

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017