Organization · Type 2 NPI
Queen of Angels Residential Care Facility
Mental Illness Intermediate Care Facility · Northridge, CA
NPI number
1720857766
Active
Practice location
9514 Rubio Ave
Northridge, CA 91343-2614
Mailing address
6621 Teesdale Ave
North Hollywood, CA 91606-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Other mental illness intermediate care facility providers in Northridge
About NPI 1720857766
Queen of Angels Residential Care Facility's National Provider Identifier is 1720857766, issued on Jan 1, 2024. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Northridge, CA. The record was last updated on Jan 1, 2024.