Organization
ST LABRE RC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENI MAKARYAN (OWNER)
(747) 900-3617
Entity
Organization
Contact information
Practice address
8225 BEN AVE, NORTH HOLLYWOOD, CA 91605-1514
(747) 900-3572
Mailing address
8225 BEN AVE, NORTH HOLLYWOOD, CA 91605-1514
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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