Organization
AVANTGARDE SENIOR LIVING
Active
Organization
AVANTGARDE SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MICHAEL ADELMAN (PRESIDENT)
(818) 692-5284
Entity
Organization
Contact information
Practice address
5645 LINDLEY AVE, TARZANA, CA 91356-2557
(818) 881-0055
(818) 881-0619
Mailing address
5645 LINDLEY AVE, TARZANA, CA 91356-2557
(818) 881-0055
(818) 881-0619
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197608081
CA
311500000X
Alzheimer Center (Dementia Center)
197608080
CA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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