Organization
ASCENCIA
Active
Other names
Ascencia
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND COLE MS (HOSPITAL LIAISON)
(818) 863-0781
Entity
Organization
Contact information
Practice address
1851 TYBURN ST, GLENDALE, CA 91204-2900
(818) 246-7900
Mailing address
1851 TYBURN ST, GLENDALE, CA 91204-2900
(818) 863-0781
(818) 246-2858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/11/2021
Last updated
02/04/2022
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