Organization
WHIPMOCHA,INC
Active
Other names
PORTER RANCH GARDEN
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PERRINE (VICE PRESIDENT)
(818) 581-8304
Entity
Organization
Contact information
Practice address
11447 YOLANDA AVE, PORTER RANCH, CA 91326-1818
(818) 403-1045
Mailing address
19808 AHWANEE LN, PORTER RANCH, CA 91326-4121
(818) 403-1045
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197604841
CA
310400000X
Assisted Living Facility
Primary
197606601
CA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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