Organization
ROSE GARDEN CONGREGATE LIVING HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARYSA LIAKHOVETSKI (CEO / OWNER)
(818) 599-5076
Entity
Organization
Contact information
Practice address
924 VIVIAN CIR, THOUSAND OAKS, CA 91320-2740
(818) 599-5076
Mailing address
18210 KAREN DR, TARZANA, CA 91356-4608
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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