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Organization
22125 ROSCOE CORP.
Active
Organization
22125 ROSCOE CORP.
Active
Other names
Topanga Terrace Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARY BUCHMAN (PRESIDENT)
(818) 905-8000
Entity
Organization
Contact information
Practice address
22125 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 883-7292
(818) 883-9903
Mailing address
22125 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 883-7292
(818) 883-9903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70095F
—
CA
05
—
ZZT06092G
—
CA
Enumeration date
06/23/2005
Last updated
05/26/2022
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