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Organization

BEVERLY GLEN CONGREGATE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIKTORIA MICHELLE KIRAKOSIAN (OWNER)
(310) 309-0959
Entity
Organization

Contact information

Practice address
1200 NORTH BEVERLY GLEN BLVD., BEL AIR, CA 90077
(424) 371-5060
(424) 371-5060
Mailing address
1200 NORTH BEVERLY GLEN BLVD., BEL AIR, CA 90077
(424) 371-5060
(424) 371-5060

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CA

Other

Enumeration date
04/08/2016
Last updated
04/08/2016
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