# SLCH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sophia Lyn Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154480234
- **Authorized official:** MR. PHILIP S ROSALES (PRESIDENT)
- **Authorized official phone:** (626) 798-0558

## Contact information

- **Practice address:** 1570 N FAIR OAKS AVE, PASADENA, CA 91103
- **Practice address phone:** (626) 798-0558
- **Practice address fax:** (626) 798-8240
- **Mailing address:** 1570 N FAIR OAKS AVE, PASADENA, CA 91103
- **Mailing address phone:** (626) 798-0558
- **Mailing address fax:** (626) 798-8240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000089 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 09/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC06343F | — | CA |