Organization · Type 2 NPI

Valley Village

Intellectual Disabilities Intermediate Care Facility · Reseda, CA

NPI number 1639220163 Active

Practice location

6542 Baird Ave
Reseda, CA 91335-6033

Call (818) 587-9450 Map

Fax (818) 587-9184

Mailing address

20830 Sherman Way
Winnetka, CA 91306-2707

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XLTC60408F (CA)

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

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About NPI 1639220163

Valley Village's National Provider Identifier is 1639220163, issued on Jan 12, 2007. 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 Aug 22, 2020.