Organization
AGE WELL ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARKIS DOVLATYAN (CEO)
(310) 775-7264
Entity
Organization
Contact information
Practice address
15149 SYLVAN ST, VAN NUYS, CA 91411-1918
(818) 281-0009
Mailing address
15149 SYLVAN ST, VAN NUYS, CA 91411-1918
(310) 775-7264
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Enumeration date
05/02/2017
Last updated
10/10/2019
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