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The Olive Leaf
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Reseda, California
NPI 1316045388

The Olive Leaf is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Reseda, CA. The Olive Leaf practices in Reseda, CA. The NPI Number for The Olive Leaf is 1316045388 and holds a License No. (California).

The current practice location address for The Olive Leaf is 19133 Ingomar St, Reseda, CA and can be reached out via phone at 818-360-3317 and via fax at 818-357-2437.

Location: 19133 Ingomar St, Reseda, CA, 91335-1720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316045388
Provider Name
The Olive Leaf
Credential
Provider Entity Type
Organization
Address
19133 Ingomar St, Reseda, CA, 91335-1720
Phone Number
818-360-3317
Fax Number
818-357-2437
Provider Enumeration Date
09/21/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
19133 Ingomar St
City
Reseda
State
California
Zip
91335-1720
Phone Number
818-360-3317
Fax Number
818-357-2437
person
Provider Business Mailing Address Details
Address
19133 Ingomar St
City
Reseda
State
California
Zip
91335-1720
Phone Number
818-360-3317
Fax Number
818-357-2437
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
960001402 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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