Organization
MIRACLE ASSISTED LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYANE AGHABEKYAN (ADMINISTRATOR)
(818) 300-8393
Entity
Organization
Contact information
Practice address
20648 LONDELIUS ST, WINNETKA, CA 91306-1023
(818) 300-8393
Mailing address
20648 LONDELIUS ST, WINNETKA, CA 91306-1023
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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