Organization
LTG HOLDING, INC.
Active
Other names
Gilmar Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR CHERTOK (CHIEF EXECUTIVE OFFICER)
(818) 422-2233
Entity
Organization
Contact information
Practice address
15152 VICTORY BLVD, VAN NUYS, CA 91411-1718
(818) 989-2651
(818) 989-2651
Mailing address
15347 DEL GADO DR, SHERMAN OAKS, CA 91403-4333
(818) 422-2233
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
197603675
CA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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