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Organization
GHC OF CANOGA PARK, LLC
Active
Organization
GHC OF CANOGA PARK, LLC
Active
Other names
Canyon Oaks Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS A MASTROCOLA (CFO)
(714) 241-5600
Entity
Organization
Contact information
Practice address
22029 SATICOY ST, CANOGA PARK, CA 91303-1133
(818) 887-7050
(818) 710-8219
Mailing address
22029 SATICOY ST, CANOGA PARK, CA 91303-1133
(818) 887-7050
(818) 710-8219
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
920000014
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06005J
—
CA
Enumeration date
08/16/2005
Last updated
05/29/2024
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