Organization
GREEN HOUSE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY YAZICHYAN NHA (ADMINISTRATOR)
(818) 212-5085
Entity
Organization
Contact information
Practice address
16011 BASSETT ST, VAN NUYS, CA 91406-4806
(818) 212-5085
(818) 908-0894
Mailing address
16011 BASSETT ST, VAN NUYS, CA 91406-4806
(818) 212-5085
(818) 908-0894
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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