Organization
HANSEN COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX ARUTUNYAN (CFO/SECRETARY)
(818) 203-7779
Entity
Organization
Contact information
Practice address
12943 WINGO ST, PACOIMA, CA 91331-4156
(818) 203-7779
Mailing address
12943 WINGO ST, PACOIMA, CA 91331-4156
(818) 203-7779
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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