Organization
SHERIDAN ASSISTED LIVING, INC
Active
Other names
Sheridan In Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE DOST (CEO)
(310) 993-0265
Entity
Organization
Contact information
Practice address
3710 ROBERTSON BLVD, 216, CULVER CITY, CA 90232-2350
(310) 204-1187
(310) 204-1218
Mailing address
3710 ROBERTSON BLVD, 216, CULVER CITY, CA 90232-2350
(310) 204-1187
(310) 204-1218
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
194700194
CA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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