Organization
BORIS MANAGEMENT CORP
Active
Other names
Country Club North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS SKURATOVICH (PRESIDENT)
(323) 610-2841
Entity
Organization
Contact information
Practice address
654 LILLIAN WAY, LOS ANGELES, CA 90004-1108
(323) 856-0161
(323) 464-7041
Mailing address
654 LILLIAN WAY, LOS ANGELES, CA 90004-1108
(323) 856-0161
(323) 464-7041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197609131
CA
Other
Enumeration date
07/13/2015
Last updated
06/20/2018
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