Caroline In Heaven Llc

NPI 1164788592 - Assisted Living Facility - 310400000X

NPI Details
NPI 1164788592
Enumeration Date 04/10/2012
Last Updated 04/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name VIRGINIA VIRGINIA
Position ADMINISTRATOR/LICENSEE
Phone (818) 361-0880
Fax (818) 361-0256
Practice Location
14132 HUBBARD ST
SYLMAR CA, 91342-4712, US
Phone (818) 361-0880
Fax (818) 361-0256
Business Location
14132 HUBBARD ST
SYLMAR CA, 91342-4712, US
Phone (818) 361-0880
Fax (818) 361-0256
Toxanomy
Taxonomy Code 310400000X
License State California
License Number 197608006
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According to our database, Caroline In Heaven Llc NPI is 1164788592, taxonomy code is 310400000X and license number is 197608006, license state is located at California. Caroline In Heaven Llc physically located at 14132 Hubbard St, Sylmar CA, 91342-4712. NPI Number 1033115704 has the healthcare provider type.

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1164788592 NPI number is provided on an as is basis without warranty of any kind. 1164788592 is maintained by the National Plan & Provider Enumeration System. The contents of Caroline In Heaven Llc are for informational purposes only.