Provider Demographics
NPI:1043394513
Name:EMMA P ARALAR
Entity Type:Organization
Organization Name:EMMA P ARALAR
Other - Org Name:EMILY CARE CENTER 1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:P
Authorized Official - Last Name:ARALAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-767-2913
Mailing Address - Street 1:8983 TELFAIR AVENUE
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352
Mailing Address - Country:US
Mailing Address - Phone:818-767-2913
Mailing Address - Fax:818-767-2799
Practice Address - Street 1:8983 TELFAIR AVENUE
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352
Practice Address - Country:US
Practice Address - Phone:818-767-2913
Practice Address - Fax:818-767-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960000768320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities