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Organization

LUDLOW ASSISTED LIVING FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATEVIK BALASANYAN (ADMINISTRATOR)
(818) 614-7923
Entity
Organization

Contact information

Practice address
17832 LUDLOW ST, GRANADA HILLS, CA 91344-4522
(747) 300-2444
Mailing address
17832 LUDLOW ST, GRANADA HILLS, CA 91344-4522
(747) 300-2444

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
04/10/2025
Last updated
04/15/2025
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