Organization
2ND HOME ADULT DAY HEALTH CARE
Active
Other names
2nd Home Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM GHUKASIAN (PROGRAM DIRECTOR)
(626) 731-4990
Entity
Organization
Contact information
Practice address
3225 FLETCHER DR, LOS ANGELES, CA 90065-2919
(707) 500-8000
Mailing address
3225 FLETCHER DR, LOS ANGELES, CA 90065-2919
(707) 500-8000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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