The Olive Leaf
The Olive Leaf is an Intellectual Disabilities Intermediate Care Facility in Reseda, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
19133 Ingomar StReseda, CA 91335-1720
Phone: (818) 360-3317
Fax: (818) 357-2437
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X · Licence 960001402 (CA) |
Record details
| NPI number | 1316045388 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Friedman — Administrator · (818) 231-4283 |
| NPI enumerated | September 21, 2006 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
| Mailing address | 19133 Ingomar St, Reseda, CA 91335-1720 |
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