# LONG BEACH CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043305782
- **Authorized official:** MS. VICKI P ROLLINS RN (VICE PRESIDENT)
- **Authorized official phone:** (562) 426-6141

## Contact information

- **Practice address:** 2615 GRAND AVE, LONG BEACH, CA 90815-1708
- **Practice address phone:** (562) 426-6141
- **Practice address fax:** (562) 426-5269
- **Mailing address:** 2615 GRAND AVE, LONG BEACH, CA 90815-1708
- **Mailing address phone:** (562) 426-6141
- **Mailing address fax:** (562) 426-5269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000177 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 02/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1140935 | MEDICAL PIN NUMBER | CA |
| 05 | — | ZZT056188H | — | CA |