Organization
VALVERDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYAM HAMEDANINIA (DIRECTOR OF RESIDENTIAL SERVICES)
31084580054
Entity
Organization
Contact information
Practice address
7600 VANALDEN AVE, RESEDA, CA 91335-1752
(818) 342-3826
(818) 342-1850
Mailing address
7600 VANALDEN AVE, RESEDA, CA 91335-1752
(818) 342-3826
(818) 342-1850
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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