Organization
ROYAL HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE MCNULTY RN, BSN (ADMINISTRATOR)
(818) 304-4582
Entity
Organization
Contact information
Practice address
9806 GERALD AVE, NORTHRIDGE, CA 91343-1710
(818) 304-4582
(747) 529-4915
Mailing address
9806 GERALD AVE, NORTHRIDGE, CA 91343-1710
(818) 304-4582
(818) 980-3804
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
05/27/2015
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