Organization
AVENIDA LIVING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LIOR MATIAN (CEO)
(310) 465-7575
Entity
Organization
Contact information
Practice address
2465 AVENIDA DE LAS PLANTAS, THOUSAND OAKS, CA 91360-6619
(310) 435-7575
(888) 369-2111
Mailing address
2465 AVENIDA DE LAS PLANTAS, THOUSAND OAKS, CA 91360-6619
(310) 435-7575
(888) 369-2111
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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