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Organization
ENSIGN SAN DIMAS LLC
Active
Organization
ENSIGN SAN DIMAS LLC
Active
Other names
Arbor Glen Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (AUTHORIZED AGENT OFFICER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1033 EAST ARROW HIGHWAY, GLENDORA, CA 91740-6110
(626) 963-7531
(626) 914-7566
Mailing address
1033 EAST ARROW HIGHWAY, GLENDORA, CA 91740-6110
(626) 963-7531
(626) 914-7566
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC06360H
—
CA
Enumeration date
07/22/2005
Last updated
02/17/2021
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