Organization
WELLBE HOME INC
Active
Other names
Van Noord Manor, Friendship Village RCF
Organization subpart
No
Provider details
NPI number
Authorized official
VAHE MKRTCHIAN (ADMINISTRATOR)
(818) 414-0005
Entity
Organization
Contact information
Practice address
12950 HAYNES ST, NORTH HOLLYWOOD, CA 91606-1022
(818) 414-0005
(855) 683-8256
Mailing address
6325 BEEMAN AVE, NORTH HOLLYWOOD, CA 91606-3122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197609307
CA
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195850280
DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCFE
CA
01
—
197609307
DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCF
CA
01
—
197609656
DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING) RCFE
CA
Enumeration date
09/24/2017
Last updated
12/30/2024
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