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Organization

YELLO JACKET, INC.

Active
Other names
Elizabeth Cottage
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA BLACK (ADMINISTRATOR)
(818) 271-8297
Entity
Organization

Contact information

Practice address
15739 SAN JOSE ST, GRANADA HILLS, CA 91344-7238
(818) 892-6520
Mailing address
15739 SAN JOSE ST, GRANADA HILLS, CA 91344-7238
(818) 892-6520

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CA

Other

Enumeration date
03/11/2008
Last updated
03/11/2008
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