Organization
INGOMAR CONGREGATE LIVING HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAHAGN PETROSYAN (PRESIDENT)
(818) 403-1803
Entity
Organization
Contact information
Practice address
19000 INGOMAR ST, RESEDA, CA 91335-1717
(818) 403-1803
Mailing address
19000 INGOMAR ST, RESEDA, CA 91335-1717
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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