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Organization
CENTRAL CONVALESCENT HOSPITAL OF GLENDALE INC
Active
Organization
CENTRAL CONVALESCENT HOSPITAL OF GLENDALE INC
Active
Other names
CHANDLER CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LEVINE (ADMINISTRATOR)
(818) 240-1610
Entity
Organization
Contact information
Practice address
525 S CENTRAL AVE, GLENDALE, CA 91204-2006
(818) 240-1610
Mailing address
525 S CENTRAL AVE, GLENDALE, CA 91204-2006
(818) 240-1610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06190F
—
CA
Enumeration date
01/19/2007
Last updated
11/19/2012
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