Organization
TYCOON RESIDENTIAL BOARD AND CARE
Active
Other names
tycoon residential board and care
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA P VILLANUEVA (ADMINISTRATOR/LICENSEE)
(121) 321-9135
Entity
Organization
Contact information
Practice address
10204 GERALD AVE, NORTH HILLS, CA 91343-1132
(818) 363-3418
(818) 363-3418
Mailing address
10204 GERALD AVE, NORTH HILLS, CA 91343-1132
(818) 363-3418
(818) 363-3418
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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