Organization
VILLA CALIFORNIA MANAGEMENT LLC
Active
Other names
California Green Tree Villa
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WATANABE (DIRECTOR)
(213) 326-9208
Entity
Organization
Contact information
Practice address
6728 SEPULVEDA BLVD, VAN NUYS, CA 91411-1248
(818) 781-6348
Mailing address
6728 SEPULVEDA BLVD, VAN NUYS, CA 91411-1248
(818) 781-6348
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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