# GRANCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyline Healthcare Center - Los Angeles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023080660
- **Authorized official:** MRS. ANDREA SAAVEDRA (REGIONAL FINANCIAL ANALYST)
- **Authorized official phone:** (707) 208-1940

## Contact information

- **Practice address:** 3032 ROWENA AVE, LOS ANGELES, CA 90039-2005
- **Practice address phone:** (323) 665-1185
- **Mailing address:** 3032 ROWENA AVE, LOS ANGELES, CA 90039-2005
- **Mailing address phone:** (323) 665-1185

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05783H | — | CA |