VINE VALLEY HOMES II NPI 1215545538

NPI Information

VINE VALLEY HOMES II is an intermediate care facility mentally retarded in Sun Valley, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. VINE VALLEY HOMES II NPI is 1215545538. The provider is registered as an organization entity type.

The provider's business location address is:

8400 BELLINGHAM AVE
SUN VALLEY, CA
ZIP 91352-803
Phone: (818) 203-7779

The provider's authorized official is Arsen Andreasyan .
The authorized official title is Ceo and has the following contact phone number (818) 203-7779.

The CLIA number assigned to this NPI record is 05D2116525 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 7/22/2020.

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:

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