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NPI Code Detail

MEDICARE: THERAPEUTIC LIVINGS CENTERS FOR THE BLIND, INC.

MEDICARE: THERAPEUTIC LIVINGS CENTERS FOR THE BLIND, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care FacilityIN PROCESSCA

General Provider Information

NPI Number : 1528399482
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC LIVINGS CENTERS FOR THE BLIND, INC.
Provider Business Mailing Address
First Line : 7915 LINDLEY AVE
Second Line :
City : RESEDA
State : CA
Zip : 91335-2122
Country : US
Telephone Number : 818-708-1740
Fax Number : 818-708-7899
Provider Business Practice Location Address
First Line : 7355 SHOUP AVE
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-1737
Country : US
Telephone Number : 818-708-1740
Fax Number : 818-708-7899
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. FORD NEALE
Credential :
Telephone Number : 818-708-1740
Provider Enumeration Date : 01/15/2010
Last Update Date : 01/15/2010

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Directions to “THERAPEUTIC LIVINGS CENTERS FOR THE BLIND, INC. ” Practice Location

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