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Organization
LONG BEACH CARE CENTER, INC.
Active
Organization
LONG BEACH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI P ROLLINS RN (VICE PRESIDENT)
(562) 426-6141
Entity
Organization
Contact information
Practice address
2615 GRAND AVE, LONG BEACH, CA 90815-1708
(562) 426-6141
(562) 426-5269
Mailing address
2615 GRAND AVE, LONG BEACH, CA 90815-1708
(562) 426-6141
(562) 426-5269
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1140935
MEDICAL PIN NUMBER
CA
05
—
ZZT056188H
—
CA
Enumeration date
10/04/2006
Last updated
02/03/2015
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