Organization
SHERMAN OAKS CONGREGATE LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SAFRAZBEKIAN (CEO)
(818) 571-4338
Entity
Organization
Contact information
Practice address
4637 NAGLE AVE, SHERMAN OAKS, CA 91423-3227
(818) 878-8528
(818) 450-1485
Mailing address
4637 NAGLE AVE, SHERMAN OAKS, CA 91423-3227
(818) 878-8528
(818) 450-1485
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/04/2016
Last updated
02/12/2019
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