Organization
THERAPEUTIC LIVING CENTERS FOR THE BLIND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORD NEALE (EXECUTIVE DIRECTOR)
(818) 708-1740
Entity
Organization
Contact information
Practice address
7955 LINDLEY AVE, RESEDA, CA 91335-2122
(818) 708-1740
(818) 708-7899
Mailing address
7915 LINDLEY AVE, RESEDA, CA 91335-2122
(818) 708-1740
(818) 708-7899
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05G610
—
CA
05
—
LTC60490F
—
CA
Enumeration date
05/23/2007
Last updated
08/22/2020
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