Organization
PORTER RANCH CONGREGATE LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIANA COHEN MD (CEO)
(818) 233-0970
Entity
Organization
Contact information
Practice address
11142 CHIMINEAS AVE, PORTER RANCH, CA 91326-2507
(818) 233-0970
(818) 671-1871
Mailing address
11142 CHIMINEAS AVE, PORTER RANCH, CA 91326-2507
(818) 233-0970
(818) 671-1871
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/04/2016
Last updated
07/21/2022
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