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Organization
STANLEY HEALTHCARE CENTER OPERATING COMPANY, LLC
Active
Organization
STANLEY HEALTHCARE CENTER OPERATING COMPANY, LLC
Active
Other names
Stanley Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B. KILIAN (CHIEF FINANCIAL OFFICER)
(909) 796-2595
Entity
Organization
Contact information
Practice address
14102 SPRINGDALE ST, WESTMINSTER, CA 92683-3538
(714) 893-0026
(714) 895-7298
Mailing address
PO BOX 3000, LOMA LINDA, CA 92354-9000
(909) 796-2595
(909) 796-8797
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000174
STATE LICENSE NUMBER
CA
05
—
LTC55651F
—
CA
Enumeration date
02/09/2006
Last updated
11/30/2016
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