EAST VALLEY ADULT DAY HEALTH CARE CENTERINC NPI 1497969638

NPI Information

EAST VALLEY ADULT DAY HEALTH CARE CENTER,INC is an adult day care clinic center in Panorama City, CA. EAST VALLEY ADULT DAY HEALTH CARE CENTER,INC NPI is 1497969638. The provider is registered as an organization entity type.

The provider's business location address is:

8612 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402-913
Phone: (818) 951-8608
Fax: (818) 951-9547

The provider's authorized official is Judith Canterbury .
The authorized official title is Administrator and has the following contact phone number (818) 951-8608.

The CLIA number assigned to this NPI record is 05D0984585 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 3/20/2014.

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:

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