Organization
HEADWAY HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE TAYLOR (ADMINISTRATOR)
(310) 849-7966
Entity
Organization
Contact information
Practice address
8500 SHIRLEY AVE, NORTHRIDGE, CA 91324-4149
(310) 849-7966
Mailing address
8500 SHIRLEY AVE, NORTHRIDGE, CA 91324-4149
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/30/2024
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