Organization
SUNRISE CONGREGATE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARD SHALJYAN (CEO)
(818) 287-8584
Entity
Organization
Contact information
Practice address
14538 LEADWELL ST, VAN NUYS, CA 91405-1905
(818) 287-8584
(818) 436-0340
Mailing address
14538 LEADWELL ST, VAN NUYS, CA 91405-1905
(818) 287-8584
(818) 436-0340
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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