Organization
VISTAMESA CONGREGATE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOVSES JUHARYAN (ADMINISTRATOR)
(818) 453-4131
Entity
Organization
Contact information
Practice address
12806 ARMINTA ST, NORTH HOLLYWOOD, CA 91605-2018
(818) 453-4131
Mailing address
12806 ARMINTA ST, NORTH HOLLYWOOD, CA 91605-2018
(818) 453-4131
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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