Provider Demographics
NPI:1851106165
Name:MOM AND DADS RETREAT, INC.
Entity type:Organization
Organization Name:MOM AND DADS RETREAT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMENUI
Authorized Official - Middle Name:AMY
Authorized Official - Last Name:ARZUMANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-422-7472
Mailing Address - Street 1:15214 WYANDOTTE ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-1749
Mailing Address - Country:US
Mailing Address - Phone:818-422-7472
Mailing Address - Fax:747-264-1179
Practice Address - Street 1:15214 WYANDOTTE ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1749
Practice Address - Country:US
Practice Address - Phone:818-422-7472
Practice Address - Fax:747-264-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility