3535 Overland Ave LLC
Assisted Living Facility in Los Angeles, CA. Organization (NPI-2).
NPI number1538445499
StatusActive
Last updated in NPPESOct 24, 2011
Details
- NPI
- 1538445499
- Entity type
- Organization (NPI-2)
- Legal business name
- 3535 Overland Ave LLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2011
- Last updated
- Oct 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 197606170 | CA | Yes |
Practice location
3535 Overland AveLos Angeles, CA 90034-5521
Phone 310-836-0510 · Fax 310-836-1938
Mailing address
3535 Overland AveLos Angeles, CA 90034-5521
Phone 310-836-0510 · Fax 310-836-1938
Authorized official
Mark Steven Ingber
LLC Managing Member
3108360510
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