Organization
PROVIDENCE ADHC CENETR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANOUCH AIRAPETIAN (CEO)
(818) 781-7898
Entity
Organization
Contact information
Practice address
6931 ATOLL AVE, NORTH HOLLYWOOD, CA 91605-4725
(818) 781-7898
Mailing address
6931 ATOLL AVE, NORTH HOLLYWOOD, CA 91605-4725
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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