NPI 1023588936
Wellness Congregated Living Facility
Practice location
- Address
- 6231 Ethel Ave, Van Nuys, CA 91401-3220
- Phone
- (818) 782-7276
- Fax
- (818) 935-6245
Authorised official
- Name
- Ruben Avetisyan
- Title
- Ceo/Coo
- Phone
- (424) 888-0909
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1023588936
- Entity type
- Organization
- NPI issued
- 4 Dec 2018
- Record last updated
- 4 Dec 2018
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.