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Organization
NORTH STAR HEALTHCARE, LLC
Active
Organization
NORTH STAR HEALTHCARE, LLC
Active
Other names
DBA SERRANO NORTH CONV HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILAH GRIER (CONTROLLER)
(323) 465-2106
Entity
Organization
Contact information
Practice address
5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
(323) 465-2106
(323) 465-3703
Mailing address
5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
(323) 465-2106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134156698
NPI
CA
05
—
ZZT06061H
—
CA
Enumeration date
06/28/2006
Last updated
08/12/2016
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