Organization
MAYANE CONGREGATE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRANT HOVHANISSYAN (PRESIDENT)
(818) 292-3213
Entity
Organization
Contact information
Practice address
17227 SIMONDS ST, GRANADA HILLS, CA 91344-3512
(818) 292-3213
(844) 673-7586
Mailing address
17227 SIMONDS ST, GRANADA HILLS, CA 91344-3512
(818) 292-3213
(844) 673-7586
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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