Beverly Glen Congregate, Inc.
NPI #1457715179 in Bel Air, California
Provider Information
- NPI Number
- 1457715179
- Entity Type
- Organization
- Organization Name
- Beverly Glen Congregate, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 8, 2016
- Last Updated
- Apr 8, 2016
Practice Location
- Address
- 1200 NORTH BEVERLY GLEN BLVD.
- City
- Bel Air
- State
- California
- ZIP Code
- 90077
- Phone
- (424) 371-5060
Authorized Official
- Name
- VIKTORIA MICHELLE KIRAKOSIAN
- Title
- OWNER
- Phone
- (310) 309-0959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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