Organization · Type 2 NPI

The Olive Leaf

Intellectual Disabilities Intermediate Care Facility · Reseda, CA

NPI number 1316045388 Active

Practice location

19133 Ingomar St
Reseda, CA 91335-1720

Call (818) 360-3317 Map

Fax (818) 357-2437

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X960001402 (CA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

2 other providers at this address

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About NPI 1316045388

The Olive Leaf's National Provider Identifier is 1316045388, issued on Sep 21, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Reseda, CA. The record was last updated on Jan 19, 2024.