Organization
GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Active
Organization
GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Active
Other names
GRANCELL VILLAGE - ALC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M FORREST (CHIEF EXECUTIVE OFFICER)
(818) 774-3208
Entity
Organization
Contact information
Practice address
7150 TAMPA AVE, FISCAL DEPT, RESEDA, CA 91335-3700
(818) 774-3000
Mailing address
7150 TAMPA AVE, FISCAL DEPT, RESEDA, CA 91335-3700
(818) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
191201137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCF00008F
—
CA
Enumeration date
05/23/2007
Last updated
06/26/2008
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