Organization
CHOICE RESPICARE, INC.
Active
Other names
Villa Balboa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATYANA DEKADOKH (CFO)
(818) 891-2273
Entity
Organization
Contact information
Practice address
16714 PARTHENIA ST, NORTHRIDGE, CA 91343-4609
(818) 891-2273
(323) 654-2104
Mailing address
16714 PARTHENIA ST, NORTHRIDGE, CA 91343-4609
(818) 891-2273
(323) 654-2104
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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