Organization
TOLUCA CONGREGATE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMEN OGANESYAN (PRESIDENT)
(818) 787-0088
Entity
Organization
Contact information
Practice address
6339 MARY ELLEN AVE, VAN NUYS, CA 91401-2521
(818) 787-0088
(818) 787-0011
Mailing address
6339 MARY ELLEN AVE, VAN NUYS, CA 91401-2521
(818) 787-0088
(818) 787-0011
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320700000X
—
CA
Enumeration date
10/08/2013
Last updated
10/08/2013
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