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Canyon Home Ii
Intellectual Disabilities Intermediate Care Facility in Sunland, California
NPI 1013063841

Canyon Home Ii is a Intellectual Disabilities Intermediate Care Facility based in Shadow Hills, CA. Canyon Home Ii practices in Sunland, CA. The NPI Number for Canyon Home Ii is 1013063841 and holds a License No. 960001001 (California).

The current practice location address for Canyon Home Ii is 8611 Wentworth, Sunland, CA and can be reached out via phone at 818-353-1514.

Location: 8611 Wentworth, Sunland, CA, 91040-1314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013063841
Provider Name
Canyon Home Ii
Credential
Provider Entity Type
Organization
Address
8611 Wentworth, Sunland, CA, 91040-1314
Phone Number
818-353-1514
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60809F 05 CA
institution
Provider Business Practice Location Address Details
Address
8611 Wentworth
City
Sunland
State
California
Zip
91040
Phone Number
818-353-1514
Fax Number
person
Provider Business Mailing Address Details
Address
8611 Wentworth
City
Sunland
State
California
Zip
91040
Phone Number
818-353-1514
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
960001001 (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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