LEADWELL CARE HOME, INC. is an intermediate care facility mentally retarded in Van Nuys, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LEADWELL CARE HOME, INC. NPI is 1356747059. The provider is registered as an organization entity type.
The provider's business location address is:
17256 LEADWELL ST
VAN NUYS, CA
ZIP 91406-537
Phone: (818) 625-8874
The provider's authorized official is Lovely Dadivas Ong .
The authorized official title is Licensee and has the following contact phone number (818) 625-8874.
The CLIA number assigned to this NPI record is 05D2081274 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/7/2014 and was last updated on 11/7/2014.