# RAY PROPERTIES KIT CARSON INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KIT CARSON NURSING AND REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467449603
- **Authorized official:** JENQ H CHEN (PRESIDENT)
- **Authorized official phone:** (310) 889-9929

## Contact information

- **Practice address:** 811 COURT ST, JACKSON, CA 95642-2131
- **Practice address phone:** (209) 223-2231
- **Mailing address:** 1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030000053 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 09/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06198I | — | CA |