Organization
GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Active
Other names
Grancell Village
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M FORREST (CHIEF EXECUTIVE OFFICER)
(818) 774-3208
Entity
Organization
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3000
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
920000013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05900F
—
CA
Enumeration date
05/24/2005
Last updated
07/22/2016
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