Organization
BETD SAN FERNANDO CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TIKU RN (ADMINISTRATOR)
(818) 493-8351
Entity
Organization
Contact information
Practice address
628 N LAZARD ST, SAN FERNANDO, CA 91340-1927
(818) 493-8351
(747) 253-7851
Mailing address
628 N LAZARD ST, SAN FERNANDO, CA 91340-1927
(818) 493-8351
(747) 253-7851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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