Organization
TLC CONGREGATE LIVING I, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARILYN V. NGUYEN (CEO)
(818) 762-4596
Entity
Organization
Contact information
Practice address
11905 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3724
(818) 762-4596
(818) 358-9485
Mailing address
11905 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3724
(818) 762-4596
(818) 358-9485
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
01/30/2015
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