NPI 1053892232

Melrose Villas, INC

Organisation Assisted Living Facility Los Angeles, CA

Practice location

Address: 823 N Poinsettia Pl, Los Angeles, CA 90046-7623
Phone: (323) 746-7840
Fax: (818) 927-6066

Authorised official

Name: Kandice Vergara
Title: Administrator
Phone: (310) 413-8717

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 197609076 (CA)

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Registry record

NPI: 1053892232
Entity type: Organization
NPI issued: 24 Aug 2018
Record last updated: 24 Aug 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.