# GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joyce Eisenberg Keefer Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487681631
- **Authorized official:** SHERRI CUNNINGHAM (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (818) 774-3000

## Contact information

- **Practice address:** 7150 TAMPA AVE, RESEDA, CA 91335-3700
- **Practice address phone:** (818) 774-3000
- **Mailing address:** 7150 TAMPA AVE, RESEDA, CA 91335-3700
- **Mailing address phone:** (818) 774-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550000621 | CA | Yes |
| 3336L0003X | Long Term Care Pharmacy | HSP48566 | CA | — |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1487681631 | — | CA |