Organization · Type 2 NPI
McLennan Avenue Home
Intellectual Disabilities Intermediate Care Facility · Granada Hills, CA
NPI number
1629560263
Active
Practice location
12325 Mclennan Ave
Granada Hills, CA 91344-1716
Fax (747) 300-9108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
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About NPI 1629560263
McLennan Avenue Home's National Provider Identifier is 1629560263, issued on May 30, 2018. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Granada Hills, CA. The record was last updated on Jan 16, 2024.