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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
CA197603165

Other Provider Identifiers:

IssuerNumberStateType
RCF00032FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS CA - Page 1



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