Petit Ave INC.
Nursing Facility/Intermediate Care Facility in Winnetka, CA. Organization (NPI-2).
NPI number1669965349
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1669965349
- Entity type
- Organization (NPI-2)
- Legal business name
- Petit Ave INC.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | – | – | Yes |
Other names
- Aurora Care (Doing Business As)
Practice location
6719 Quakertown AveWinnetka, CA 91306-4336
Phone 818-945-4374 · Fax 818-435-3079
Mailing address
6719 Quakertown AveWinnetka, CA 91306-4336
Phone 818-945-4374 · Fax 818-435-3079
Authorized official
Edgar Ghazaryan
Ceo
8189454374
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