Organization
BEL AIR CONGREGATE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA VYDRUG (OWNER)
(323) 833-1794
Entity
Organization
Contact information
Practice address
1024 N SEPULVEDA BLVD, LOS ANGELES, CA 90049-2105
(323) 833-1794
Mailing address
1024 N SEPULVEDA BLVD, LOS ANGELES, CA 90049-2105
(323) 833-1794
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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