Organization
CASA MARINA AT NORTHRIDGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA MARINA ALONZO (PRESIDENT)
(818) 554-3202
Entity
Organization
Contact information
Practice address
17029 ROMAR ST, NORTHRIDGE, CA 91325-1640
(818) 349-3011
(818) 772-4240
Mailing address
17029 ROMAR ST, NORTHRIDGE, CA 91325-1640
(818) 349-3011
(818) 772-4240
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
197605786
CA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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