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Organization
BROADWATER SUNRAY CARE CENTER, LLC
Active
Organization
BROADWATER SUNRAY CARE CENTER, LLC
Active
Other names
Sunray Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EASTON (MANAGER)
(818) 368-1862
Entity
Organization
Contact information
Practice address
3210 W PICO BLVD, LOS ANGELES, CA 90019-3643
(323) 734-2171
(323) 734-1825
Mailing address
3210 W PICO BLVD, LOS ANGELES, CA 90019-3643
(323) 734-2171
(323) 734-1825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000023
CA
Other
Enumeration date
02/13/2007
Last updated
06/09/2008
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