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Mclennan Avenue Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Granada Hills, California
NPI 1629560263

Mclennan Avenue Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Granada Hills, CA. Mclennan Avenue Home practices in Granada Hills, CA. The NPI Number for Mclennan Avenue Home is 1629560263 and holds a License No. (California).

The current practice location address for Mclennan Avenue Home is 12325 Mclennan Ave, Granada Hills, CA and can be reached out via phone at 818-886-3172 and via fax at 747-300-9108.

Location: 12325 Mclennan Ave, Granada Hills, CA, 91344-1716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629560263
Provider Name
Mclennan Avenue Home
Credential
Provider Entity Type
Organization
Address
12325 Mclennan Ave, Granada Hills, CA, 91344-1716
Phone Number
818-886-3172
Fax Number
747-300-9108
Provider Enumeration Date
05/30/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12325 Mclennan Ave
City
Granada Hills
State
California
Zip
91344-1716
Phone Number
818-886-3172
Fax Number
747-300-9108
person
Provider Business Mailing Address Details
Address
12325 Mclennan Ave
City
Granada Hills
State
California
Zip
91344-1716
Phone Number
818-886-3172
Fax Number
747-300-9108
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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