# BROADWATER SUNRAY CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunray Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023150042
- **Authorized official:** DOUGLAS EASTON (MANAGER)
- **Authorized official phone:** (818) 368-1862

## Contact information

- **Practice address:** 3210 W PICO BLVD, LOS ANGELES, CA 90019-3643
- **Practice address phone:** (323) 734-2171
- **Practice address fax:** (323) 734-1825
- **Mailing address:** 3210 W PICO BLVD, LOS ANGELES, CA 90019-3643
- **Mailing address phone:** (323) 734-2171
- **Mailing address fax:** (323) 734-1825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000023 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 06/09/2008