Organization
ONE & ONLY CONGREGATE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA LELCHITSKY (SECRETARY)
(818) 708-8873
Entity
Organization
Contact information
Practice address
23296 COHASSET ST, CANOGA PARK, CA 91304-5366
(818) 708-8873
Mailing address
5369 NEWCASTLE LN, CALABASAS, CA 91302-3119
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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