Organization
BIC BRAIN INJURY HOME AT BANNER AVE
Active
Parent organization
BRAIN INJURY CENTER OF VENTURA COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAIN INJURY CENTER OF VENTURA COUNTY
Authorized official
ANNA JEANETTE GENDRON MS, ARF, CBIS (ASSISTANT ADMINISTRATOR)
(805) 482-1312
Entity
Organization
Contact information
Practice address
50 BANNER AVE, VENTURA, CA 93004-1551
(805) 482-1312
(805) 456-7876
Mailing address
50 BANNER AVE, VENTURA, CA 93004-1551
(805) 482-1312
(805) 456-7876
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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