Organization
MELROSE VILLAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDICE VERGARA (ADMINISTRATOR)
(310) 413-8717
Entity
Organization
Contact information
Practice address
823 N POINSETTIA PL, LOS ANGELES, CA 90046-7623
(323) 746-7840
(818) 927-6066
Mailing address
823 N POINSETTIA PL, LOS ANGELES, CA 90046-7623
(323) 746-7840
(818) 927-6066
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197609076
CA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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