GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING NPI 1518177021

NPI Information

GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING is an assisted living facility in Reseda, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING NPI is 1518177021. The provider is registered as an organization entity type.
The provider Other Name Is Grancell Village - Alc.

The provider's business location address is:

7150 TAMPA AVE
FISCAL DEPT
RESEDA, CA
ZIP 91335-700
Phone: (818) 774-3000

The provider's authorized official is Mary M Forrest .
The authorized official title is Chief Executive Officer and has the following contact phone number (818) 774-3208.

The CLIA number assigned to this NPI record is 05D0694228 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/26/2008.

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:

Other Identifiers

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