MEDICARE: FLAIR SENIOR MANOR

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	:	1932929957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLAIR SENIOR MANOR

Provider Business Mailing Address
First Line	:	22853 ENADIA WAY
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22853 ENADIA WAY
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2205
Country	:	US
Telephone Number	:	818-425-1021
Fax Number	:	818-279-2581

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LILIYA PYARALI
Credential	:
Telephone Number	:	818-425-1021

Provider Enumeration Date	:	10/15/2024
Last Update Date	:	10/15/2024

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Directions to “FLAIR SENIOR MANOR ” Practice Location

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