Healthcare Provider Details
I. General information
NPI: 1194641043
Provider Name (Legal Business Name): VALLEY MANOR BOARD AND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19238 ARMINTA ST
RESEDA CA
91335-1107
US
IV. Provider business mailing address
19238 ARMINTA ST
RESEDA CA
91335-1107
US
V. Phone/Fax
- Phone: 747-210-9070
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEVON
TOROSYAN
Title or Position: CO-OWNER
Credential:
Phone: 747-210-9070