# THE HEALING SANCTUM-GREENMEADOW, LLC

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

## Provider details

- **NPI number:** 1073114807
- **Authorized official:** MINH NGUYEN MD (OWNER / FACILITY MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 212-1272

## Contact information

- **Practice address:** 5302 E GREENMEADOW RD, LONG BEACH, CA 90808-1620
- **Practice address phone:** (562) 452-7893
- **Mailing address:** 5302 E GREENMEADOW RD, LONG BEACH, CA 90808-1620
- **Mailing address phone:** (562) 452-7893

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 11/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 550005794 | — | CA |