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Organization

FOR SENIOR CARE , LLC

Active
Other names
California Congregate Living
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DOW PERRINE (OPERATIONS OFFICER)
(818) 581-8304
Entity
Organization

Contact information

Practice address
2333 YOSEMITE AVE, SIMI VALLEY, CA 93063-3540
(805) 285-7858
(805) 335-6878
Mailing address
19808 AHWANEE LN, PORTER RANCH, CA 91326-4121
(818) 581-8304

Taxonomy

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

Other

Enumeration date
09/21/2017
Last updated
09/21/2017
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