Organization
MOON LIGHT BOARDING CARE INC
Active
Organization
MOON LIGHT BOARDING CARE INC
Active
Other names
MOON LIGHT BOARDING CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SAKO MANVELYAN ADMINISTRATOR (ADMIN)
(818) 661-7333
Entity
Organization
Contact information
Practice address
120 N SIERRA BONITA AVE, PASADENA, CA 91106-2110
(818) 661-7333
Mailing address
120 N SIERRA BONITA AVE, PASADENA, CA 91106-2110
(818) 661-7333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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