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Organization

ST.RITA'S HAVEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALISA GRIGORYAN (PRESIDENT)
(818) 894-2000
Entity
Organization

Contact information

Practice address
9525 PETIT AVE, NORTHRIDGE, CA 91343-2520
(818) 894-2000
Mailing address
9525 PETIT AVE, NORTHRIDGE, CA 91343-2520
(818) 894-2000

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CA

Other

Enumeration date
08/14/2007
Last updated
08/14/2007
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