# AMBERWOOD CONVALESCENT HOSPITAL INC

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

## Provider details

- **NPI number:** 1124027677
- **Authorized official:** MR. BEN H GARRETT (CEO)
- **Authorized official phone:** (626) 282-8431

## Contact information

- **Practice address:** 6071 YORK BLVD, HIGHLAND PARK, CA 90042-3503
- **Practice address phone:** (323) 254-3407
- **Practice address fax:** (323) 254-7580
- **Mailing address:** 6071 YORK BLVD, HIGHLAND PARK, CA 90042-3503
- **Mailing address phone:** (323) 254-3407
- **Mailing address fax:** (323) 254-7580

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 055664 | — | CA |