Organization
FOUR SEASONS ASSISTED LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH REICHMAN (ADMINISTRATOR)
(323) 634-1940
Entity
Organization
Contact information
Practice address
12120 CHANDLER BLVD, NORTH HOLLYWOOD, CA 91607-2002
(818) 487-0770
Mailing address
12120 CHANDLER BLVD, NORTH HOLLYWOOD, CA 91607-2002
(818) 487-0770
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
191201666
CA
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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