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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