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Organization
WINDSOR RIDGECREST, LLC
Active
Organization
WINDSOR RIDGECREST, LLC
Active
Other names
Ridecrest Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
(310) 385-1090
Entity
Organization
Contact information
Practice address
16640 N 38TH ST, PHOENIX, AZ 85032-2103
(602) 482-6671
(602) 482-3541
Mailing address
9200 SUNSET BLVD., SUITE 700 C/O S&F MANAGEMENT COMPANY, LLC,, WEST HOLLYWOOD, CA 90069-3603
(310) 385-1076
(310) 595-3736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
09/11/2012
Last updated
04/30/2013
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