# WINDSOR PALM VALLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palm Valley Rehabilitation & Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295084440
- **Authorized official:** LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
- **Practice address phone:** (623) 536-9911
- **Practice address fax:** (623) 536-9502
- **Mailing address:** 9200 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-3502
- **Mailing address phone:** (310) 385-1076
- **Mailing address fax:** (310) 595-3736

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2012
- **Last updated:** 04/30/2013