# ST.RITA'S HAVEN

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

## Provider details

- **NPI number:** 1942492855
- **Authorized official:** MRS. ALISA GRIGORYAN (PRESIDENT)
- **Authorized official phone:** (818) 894-2000

## Contact information

- **Practice address:** 9525 PETIT AVE, NORTHRIDGE, CA 91343-2520
- **Practice address phone:** (818) 894-2000
- **Mailing address:** 9525 PETIT AVE, NORTHRIDGE, CA 91343-2520
- **Mailing address phone:** (818) 894-2000

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 08/14/2007