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Organization

RESEDA RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TETYANA WYNTER (DIRECTOR OF RESIDENTIAL SERVICES)
(818) 894-9301
Entity
Organization

Contact information

Practice address
19013 ARMINTA ST, RESEDA, CA 91335-1104
(818) 894-9301
(818) 894-8841
Mailing address
15725 PARTHENIA ST, NORTH HILLS, CA 91343-4913
(818) 894-9301
(818) 894-8841

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
05/31/2019
Last updated
05/31/2019
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