Canyon Home II
NPI #1013063841 in Sunland, California
Provider Information
- NPI Number
- 1013063841
- Entity Type
- Organization
- Organization Name
- Canyon Home II
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 8611 WENTWORTH
- City
- Sunland
- State
- California
- ZIP Code
- 91040
- Phone
- (818) 353-1514
Authorized Official
- Name
- MR. RICHARD W DENOGEAN, RN
- Title
- CEO
- Phone
- (818) 353-8214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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