Queen of Angels Residential Care Facility
NPI #1720857766 in Northridge, California
Provider Information
- NPI Number
- 1720857766
- Entity Type
- Organization
- Organization Name
- Queen of Angels Residential Care Facility
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Jan 1, 2024
- Last Updated
- Jan 1, 2024
Practice Location
- Address
- 9514 RUBIO AVE
- City
- Northridge
- State
- California
- ZIP Code
- 91343-2614
- Phone
- (323) 684-1609
Authorized Official
- Name
- SONA AYRAPETYAN
- Title
- ADMINISTRATOR
- Phone
- (323) 684-1609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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