Mclennan Avenue Home
NPI #1629560263 in Granada Hills, California
Provider Information
- NPI Number
- 1629560263
- Entity Type
- Organization
- Organization Name
- Mclennan Avenue Home
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 30, 2018
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 12325 MCLENNAN AVE
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-1716
- Phone
- (818) 886-3172
Authorized Official
- Name
- MR. ROY L MARTIN II
- Title
- PRESIDENT
- Phone
- (323) 253-5316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Intermediate Care Facility, Intellectual Disabilities |
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