MEDICARE: BEST CARE ASSISTED LIVING ON HASKELL

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1790532661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE ASSISTED LIVING ON HASKELL

Provider Business Mailing Address
First Line	:	9756 HASKELL AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-2017
Country	:	US
Telephone Number	:	323-573-7592
Fax Number	:

Provider Business Practice Location Address
First Line	:	9756 HASKELL AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-2017
Country	:	US
Telephone Number	:	323-573-7592
Fax Number	:

Authorized Official
Title or Position	:	LICENSEE
Name	:	MS. SIRANUYSH GEVORKYAN
Credential	:	ETC
Telephone Number	:	323-573-7592

Provider Enumeration Date	:	04/30/2024
Last Update Date	:	04/30/2024

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Directions to “BEST CARE ASSISTED LIVING ON HASKELL ” Practice Location

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