Organization
ATOLL CONGREGATE LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY ROSHAL (CEO)
(805) 236-8644
Entity
Organization
Contact information
Practice address
6313 ATOLL AVE, VAN NUYS, CA 91401-2502
(805) 236-8644
Mailing address
6313 ATOLL AVE, VAN NUYS, CA 91401-2502
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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