GLEN PARK AT VALLEY VILLAGE
Alzheimer Center
Valley Village, California
Provider NPI: 1942484837
Organization Information:Organization Name: GLEN PARK AT VALLEY VILLAGE
Practice Location:
5527 LAUREL CANYON BLVD VALLEY VILLAGE, CA 91607 US
Tel: 818-769-6626 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5527 LAUREL CANYON BLVD VALLEY VILLAGE, CA 91607 US
Tel: 818-769-6626 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | CA | 197603165 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RCF00032F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin