Organization
THE INN ON THE BOULEVARD RETIREMENT HOTEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE (OWNER)
(818) 509-9665
Entity
Organization
Contact information
Practice address
11201 VENTURA BLVD, STUDIO CITY, CA 91604-3136
(818) 509-9665
(818) 509-8148
Mailing address
11201 VENTURA BLVD, STUDIO CITY, CA 91604-3136
(818) 509-9665
(818) 509-8148
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
197606791
CA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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