Organization · Type 2 NPI
Valley Village
Intellectual Disabilities Intermediate Care Facility · Northridge, CA
NPI number
1508918376
Active
Practice location
9701 Corbin Ave
Northridge, CA 91324-1620
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 | LTC60825F (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Northridge
About NPI 1508918376
Valley Village's National Provider Identifier is 1508918376, issued on Jan 18, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Northridge, CA. The record was last updated on Aug 22, 2020.