Provider Demographics
NPI:1023562378
Name:ARCHWOOD HOUSE CLHF, INC.
Entity Type:Organization
Organization Name:ARCHWOOD HOUSE CLHF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-212-2979
Mailing Address - Street 1:14011 ARCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY GLEN
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4822
Mailing Address - Country:US
Mailing Address - Phone:818-212-2979
Mailing Address - Fax:818-212-2978
Practice Address - Street 1:14011 ARCHWOOD ST
Practice Address - Street 2:
Practice Address - City:VALLEY GLEN
Practice Address - State:CA
Practice Address - Zip Code:91405-4822
Practice Address - Country:US
Practice Address - Phone:818-212-2979
Practice Address - Fax:818-212-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility