Organization
NEW AGE COMMUNITY BASED ADULT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYAM GHUKASIAN (PRESIDENT)
(626) 731-4990
Entity
Organization
Contact information
Practice address
780 GREENRIDGE DR, LA CANADA, CA 91011-4203
(626) 731-4990
Mailing address
780 GREENRIDGE DR, LA CANADA, CA 91011-4203
(626) 731-4990
(323) 544-2923
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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