Organization
VALLEY GRACE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MIKITARIAN (CFO)
(818) 791-4182
Entity
Organization
Contact information
Practice address
16052 CHASE ST, NORTH HILLS, CA 91343
(818) 305-6255
(818) 305-6252
Mailing address
16052 CHASE ST, NORTH HILLS, CA 91343-6308
(818) 305-6255
(818) 305-6252
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
10/17/2024
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