Organization
HEAVENLY MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPAN STEVE AMIRIAN (PRESIDENT)
(818) 653-6440
Entity
Organization
Contact information
Practice address
9742 HASKELL AVE, NORTH HILLS, CA 91343-2017
(818) 653-6440
Mailing address
9742 HASKELL AVE, NORTH HILLS, CA 91343-2017
(818) 653-6440
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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