# MENTAL HEALTH CONVALESCENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakewood Park Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003803842
- **Authorized official:** MR. DANIEL C. ZILAFRO N.H.A. (ADMINISTRATOR)
- **Authorized official phone:** (562) 869-0978

## Contact information

- **Practice address:** 12023 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
- **Practice address phone:** (562) 869-0978
- **Practice address fax:** (562) 869-5376
- **Mailing address:** 12023 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
- **Mailing address phone:** (562) 869-0978
- **Mailing address fax:** (562) 869-5376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18124H | — | CA |