| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | St. Rita's Haven, Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1942492855 | [sources] | |||
| Registration number | HCB00019F | [sources] | |||
| Sector | N/A | [sources] | |||
| Address | 9525 Petit Ave., Northridge, CA, 91343-2520 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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