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Organization
SILVERSCREEN HEALTHCARE
Active
Organization
SILVERSCREEN HEALTHCARE
Active
Other names
golden state colonial convalescent hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLYNN MAHAN (CHIEF FINANCIAL OFFICER)
(909) 987-7735
Entity
Organization
Contact information
Practice address
10830 OXNARD ST, N HOLLYWOOD, CA 91606-5021
(818) 763-8247
(818) 762-8279
Mailing address
10830 OXNARD ST, N HOLLYWOOD, CA 91606-5021
(818) 763-8247
(818) 762-8279
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18128H
—
CA
Enumeration date
08/21/2006
Last updated
02/14/2008
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