McLennan Avenue Home
McLennan Avenue Home is an Intellectual Disabilities Intermediate Care Facility in Granada Hills, California. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
12325 McLennan AveGranada Hills, CA 91344-1716
Phone: (818) 886-3172
Fax: (747) 300-9108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
Record details
| NPI number | 1629560263 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roy Martin — President · (323) 253-5316 |
| NPI enumerated | May 30, 2018 |
| Last updated in NPPES | January 16, 2024 |
| Certification date | January 16, 2024 |
| Mailing address | 12325 McLennan Ave, Granada Hills, CA 91344-1716 |
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