NPI 1013063841

Canyon Home II

Organisation Intellectual Disabilities Intermediate Care Facility Sunland, CA

Practice location

Address: 8611 Wentworth, Sunland, CA 91040
Phone: (818) 353-1514
Mailing address: 10712 Artrude St, Shadow Hills, CA 91040-1314

Authorised official

Name: Richard W Denogean
Title: Ceo
Phone: (818) 353-8214

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 960001001 (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1013063841
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 8 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.