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Organization
SANDHURST CONVALESCENT GROUP, LTD.
Active
Organization
SANDHURST CONVALESCENT GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY RICHARDS (ADMINISTRATOR)
(310) 675-3304
Entity
Organization
Contact information
Practice address
13922 CERISE AVE, HAWTHORNE, CA 90250-8688
(310) 675-3304
(310) 675-4389
Mailing address
13922 CERISE AVE, HAWTHORNE, CA 90250-8688
(310) 675-3304
(310) 675-4389
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06267I
—
CA
Enumeration date
10/12/2005
Last updated
06/21/2012
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