NPI: 1275026957
Provider Name: VALLEY VISTA RESIDENTIAL MANOR LLC
Doing Business As: VALLEY MANOR GUEST HOME
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
6130 VINELAND AVE
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 766-8161
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VALLEY VISTA RESIDENTIAL MANOR LLC is an assisted living and mental illness assisted living facility in North Hollywood, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. VALLEY VISTA RESIDENTIAL MANOR LLC NPI is 1275026957. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Manor Guest Home.
The provider's business location address is:
6130 VINELAND AVE
NORTH HOLLYWOOD, CA
ZIP 91606-914
Phone: (818) 766-8161
Fax: (818) 643-8753
The provider's authorized official is Ginger Po .
The authorized official title is Ceo and has the following contact phone number (949) 648-2737.
The enumeration date for this NPI number is 6/7/2018 and was last updated on 3/26/2020.