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Organization

WELLNESS CONGREGATED LIVING FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBEN AVETISYAN (CEO/COO)
(424) 888-0909
Entity
Organization

Contact information

Practice address
6231 ETHEL AVE, VAN NUYS, CA 91401-3220
(818) 782-7276
(818) 935-6245
Mailing address
6231 ETHEL AVE, VAN NUYS, CA 91401-3220
(818) 782-7276
(818) 935-6245

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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