# GREENFIELD CARE CENTER OF FILLMORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275972481
- **Authorized official:** JENQ H CHEN (CHAIRMAN/PRESIDENT)
- **Authorized official phone:** (310) 889-9929

## Contact information

- **Practice address:** 118 B ST, FILLMORE, CA 93015-1763
- **Practice address phone:** (805) 524-5250
- **Mailing address:** 1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 01/20/2014