# PRN CONVALESCENT HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HIGH VALLEY LODGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366517393
- **Authorized official:** MR. LUIS M ALBERT (CEO)
- **Authorized official phone:** (818) 352-3158

## Contact information

- **Practice address:** 7912 TOPLEY LN, SUNLAND, CA 91040-3336
- **Practice address phone:** (818) 352-3158
- **Practice address fax:** (818) 352-3718
- **Mailing address:** 7912 TOPLEY LN, SUNLAND, CA 91040-3336
- **Mailing address phone:** (818) 352-3158
- **Mailing address fax:** (818) 352-2885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000040 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 12/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05856H | — | CA |