# MARLINDA CONVALESCENT HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomfield East
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184796765
- **Authorized official:** KATHERINE LANCE (CEO)
- **Authorized official phone:** (310) 638-6691

## Contact information

- **Practice address:** 3615 E IMPERIAL HWY, LYNWOOD, CA 90262-2652
- **Practice address phone:** (310) 638-6691
- **Mailing address:** 3351 E IMPERIAL HWY, LYNWOOD, CA 90262-3305
- **Mailing address phone:** (310) 638-6691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000113 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05052F | — | CA |