Organization
MADDIE'S GREEN HAVEN FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNAIDA SHAKHVALADYAN (CEO)
(661) 383-3477
Entity
Organization
Contact information
Practice address
7460 MAMMOTH AVE, VAN NUYS, CA 91405-1505
(661) 383-3477
Mailing address
7460 MAMMOTH AVE, VAN NUYS, CA 91405-1505
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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