Organization
COURTYARD PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONAHUE GILBERT VANDERHIDER I M.S.G. (EXECUTIVE DIRECTOR)
(818) 780-5005
Entity
Organization
Contact information
Practice address
6951 LENNOX AVE, ADMINISTRATION, VAN NUYS, CA 91405-4034
(818) 780-5005
(818) 780-5176
Mailing address
6951 LENNOX AVE, ADMINISTRATION, VAN NUYS, CA 91405-4034
(818) 780-5005
(818) 780-5176
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197603560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6951LENNOX
—
CA
Enumeration date
04/02/2009
Last updated
04/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us