Organization
MARY ELLEN HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOHAR KHACHATRYAN (LICENSEE)
(818) 279-1415
Entity
Organization
Contact information
Practice address
7752 MARY ELLEN AVE, NORTH HOLLYWOOD, CA 91605-1928
(818) 279-1415
Mailing address
7752 MARY ELLEN AVE, NORTH HOLLYWOOD, CA 91605-1928
(818) 279-1415
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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