Organization
LAKE ENCINO, INC.
Active
Other names
Raechelle Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
HAKOP LALOYAN (CEO)
(323) 656-8266
Entity
Organization
Contact information
Practice address
2215 W 15TH ST, LOS ANGELES, CA 90006-4703
(323) 656-8266
(866) 910-2595
Mailing address
340 S LEMON AVE # 9888, WALNUT, CA 91789-2706
(323) 656-8266
(866) 910-2595
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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