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Organization
RAY PROPERTIES KIT CARSON INC.
Active
Organization
RAY PROPERTIES KIT CARSON INC.
Active
Other names
KIT CARSON NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENQ H CHEN (PRESIDENT)
(310) 889-9929
Entity
Organization
Contact information
Practice address
811 COURT ST, JACKSON, CA 95642-2131
(209) 223-2231
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06198I
—
CA
Enumeration date
10/03/2005
Last updated
09/10/2008
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