Organization
WOODMAN AVE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK INGBER (PRESIDENT)
(818) 997-6756
Entity
Organization
Contact information
Practice address
7720 WOODMAN AVE, PANORAMA CITY, CA 91402-6527
(818) 997-6756
(818) 997-3004
Mailing address
7720 WOODMAN AVE, PANORAMA CITY, CA 91402-6527
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197600430
CA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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