Organization
WELLNESS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE MELIKSETYAN (PRESIDENT)
(747) 218-9141
Entity
Organization
Contact information
Practice address
9115 N WYSTONE AVENUE, NORTHRIDGE, CA 91324
(747) 218-9141
Mailing address
9115 N WYSTONE AVENUE, NORTHRIDGE, CA 91324
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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