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Organization

ASSISTED LIVING ON GLADE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIPAN MOVSESYAN (OWNER)
(818) 696-3110
Entity
Organization

Contact information

Practice address
10140 GLADE AVE, CHATSWORTH, CA 91311-2856
(747) 202-0025
Mailing address
10140 GLADE AVE, CHATSWORTH, CA 91311-2856
(747) 202-0025

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
07/24/2024
Last updated
08/22/2024
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