Provider Demographics
NPI:1518124056
Name:EMMA P ARALAR
Entity Type:Organization
Organization Name:EMMA P ARALAR
Other - Org Name:EMILY CARE CENTER 11
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / LICENSEE
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:818-504-4881
Mailing Address - Street 1:11937 STRATHERN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1413
Mailing Address - Country:US
Mailing Address - Phone:818-504-4881
Mailing Address - Fax:818-504-4026
Practice Address - Street 1:11937 STRATHERN ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1413
Practice Address - Country:US
Practice Address - Phone:818-504-4881
Practice Address - Fax:818-504-4026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities