# KIRKSIDE FACILITIES OPERATIONS, LLC

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

## Provider details

- **NPI number:** 1417273798
- **Authorized official:** DOUGLAS EASTON (OWNER)
- **Authorized official phone:** (702) 308-7191

## Contact information

- **Practice address:** 6380 WILSHIRE BLVD, LOS ANGELES, CA 90048-5003
- **Practice address phone:** (323) 651-1808
- **Mailing address:** 6380 WILSHIRE BLVD, LOS ANGELES, CA 90048-5003
- **Mailing address phone:** (323) 651-1808

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 04/12/2010