Ellenbogen House
NPI #1437367646 in Sunland, California
Provider Information
- NPI Number
- 1437367646
- Entity Type
- Organization
- Organization Name
- Ellenbogen House
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7843 ELLENBOGEN ST
- City
- Sunland
- State
- California
- ZIP Code
- 91040-2213
- Phone
- (818) 352-9277
Authorized Official
- Name
- EDITH AVANZADO
- Title
- LICENSEE
- Phone
- (818) 352-9277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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