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Organization
ROYAL TERRACE LLC
Active
Organization
ROYAL TERRACE LLC
Active
Other names
ROYAL TERRACE HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA FLORO CRUZ (PRESIDENT)
(323) 965-0600
Entity
Organization
Contact information
Practice address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
(626) 256-9354
Mailing address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
(626) 256-9354
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437147022
—
CA
05
—
ZZT05541H
—
CA
Enumeration date
10/08/2005
Last updated
11/04/2014
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