Organization · Type 2 NPI
Valley Village
Intellectual Disabilities Intermediate Care Facility · Panorama City, CA
NPI number
1447301213
Active
Practice location
8033 Matilija Ave
Panorama City, CA 91402-6126
Fax (818) 587-9184
Mailing address
20830 Sherman Way
Winnetka, CA 91306-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | LTC60894F (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1447301213
Valley Village's National Provider Identifier is 1447301213, issued on Jan 16, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Panorama City, CA. The record was last updated on Aug 22, 2020.