Canyon Home Ii

NPI 1013063841 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1013063841
Enumeration Date 01/26/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD W. RICHARD
Position CEO
Phone (818) 353-1514
Fax
Practice Location
8611 WENTWORTH
SUNLAND CA, 91040, US
Phone (818) 353-1514
Fax
Business Location
10712 ARTRUDE ST
SHADOW HILLS CA, 91040-1314, US
Phone (818) 353-1514
Fax
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Canyon Home Ii NPI is 1013063841, taxonomy code is 315P00000X Canyon Home Ii physically located at 8611 Wentworth, Sunland CA, 91040. NPI Number 1033115704 has the healthcare provider type.

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1013063841 NPI number is provided on an as is basis without warranty of any kind. 1013063841 is maintained by the National Plan & Provider Enumeration System. The contents of Canyon Home Ii are for informational purposes only.