Organization
SENIORS HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE ADLE MENDOZA (OWNER/MEMBER/ADMINISTRATOR)
(818) 281-9439
Entity
Organization
Contact information
Practice address
1831 N KENWOOD ST, BURBANK, CA 91505-1418
(818) 281-9439
Mailing address
1831 N KENWOOD ST, BURBANK, CA 91505-1418
(818) 281-9439
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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