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Organization
EMANAGED CARE
Active
Organization
EMANAGED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE VAHAGN (CFO)
(818) 731-2988
Entity
Organization
Contact information
Practice address
8505 ORION AVE, NORTH HILLS, CA 91343-5812
(323) 818-7018
(888) 998-2068
Mailing address
PO BOX 3582, GLENDALE, CA 91221-3582
(818) 731-2988
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
—
—
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
364SL0600X
Long-Term Care Clinical Nurse Specialist
—
—
Other
Enumeration date
11/20/2023
Last updated
05/22/2025
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