Organization
NIGHTFALL HEALTHCARE, INC.
Active
Other names
Lake Balboa Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
16955 VANOWEN ST, VAN NUYS, CA 91406-4542
(818) 343-0700
Mailing address
16955 VANOWEN ST, VAN NUYS, CA 91406-4542
(818) 343-0700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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