Provider Demographics
NPI:1033784202
Name:SAFEWAY HOME FOR ELDERLY CARE
Entity Type:Organization
Organization Name:SAFEWAY HOME FOR ELDERLY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARGARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-601-6666
Mailing Address - Street 1:8808 ENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:91325-3131
Mailing Address - Country:US
Mailing Address - Phone:818-601-6666
Mailing Address - Fax:818-241-4242
Practice Address - Street 1:8808 ENFIELD AVE
Practice Address - Street 2:
Practice Address - City:SHERWOOD FOREST
Practice Address - State:CA
Practice Address - Zip Code:91325-3131
Practice Address - Country:US
Practice Address - Phone:818-601-6666
Practice Address - Fax:818-241-4242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home