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THE OLIVE TREE EXPERIENCE NPI 1134450018


NPI Information

NPI: 1134450018
Provider Name: THE OLIVE TREE EXPERIENCE

Doing Business As: THE OLIVE TREE

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
7834 VANALDEN AVE
RESEDA, CA
ZIP 91335
Phone: (818) 626-8319
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THE OLIVE TREE EXPERIENCE is an intermediate care facility mentally retarded in Reseda, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. THE OLIVE TREE EXPERIENCE NPI is 1134450018. The provider is registered as an organization entity type.
The provider Is Doing Business As The Olive Tree.

The provider's business location address is:

7834 VANALDEN AVE
RESEDA, CA
ZIP 91335-703
Phone: (818) 626-8319
Fax: (818) 357-5596

The provider's authorized official is Larry Philip Friedman .
The authorized official title is Administrator and has the following contact phone number (818) 231-4283.

The enumeration date for this NPI number is 1/16/2010 and was last updated on 11/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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