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Organization

QUEEN OF ANGELS RESIDENTIAL CARE FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONA AYRAPETYAN (ADMINISTRATOR)
(323) 684-1609
Entity
Organization

Contact information

Practice address
9514 RUBIO AVE, NORTHRIDGE, CA 91343-2614
(323) 684-1609
Mailing address
6621 TEESDALE AVE, NORTH HOLLYWOOD, CA 91606-1209
(323) 684-1609

Taxonomy

Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary

Other

Enumeration date
01/01/2024
Last updated
01/01/2024
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