Organization
BRANDMAN CENTERS FOR SENIOR CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M FORREST (CEO PRESIDENT)
(818) 774-3208
Entity
Organization
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3274
(818) 774-3020
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3274
(818) 774-3020
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
960000819
CA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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