person
Mr. Boris Skuratovich
Assisted Living Facility in Los Angeles, California
NPI 1538542360

Boris Skuratovich is an Assisted Living Facility based in Los Angeles, CA. Boris Skuratovich practices in Los Angeles, CA. The NPI Number for Boris Skuratovich is 1538542360 and holds a License No. 197608929 (California).

The current practice location address for Boris Skuratovich is 3454 Perlita Ave, Los Angeles, CA and can be reached out via phone at 323-665-6893 and via fax at 323-658-5533.

Location: 3454 Perlita Ave, Los Angeles, CA, 90039-1932
person
Provider Profile Details
NPI Number
1538542360
Provider Name
Boris Skuratovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
3454 Perlita Ave, Los Angeles, CA, 90039-1932
Phone Number
323-665-6893
Fax Number
323-658-5533
Provider Enumeration Date
06/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47-3194585 05 CA
institution
Provider Business Practice Location Address Details
Address
3454 Perlita Ave
City
State
Zip
90039-1932
Phone Number
323-665-6893
Fax Number
323-658-5533
person
Provider Business Mailing Address Details
Address
3454 Perlita Ave
City
State
Zip
90039-1932
Phone Number
323-665-6893
Fax Number
323-658-5533
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
197608929 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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