# TWO PALMS NURSING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578633228
- **Authorized official:** MRS. MARTHANN DEMCHUK (PRESIDENT)
- **Authorized official phone:** (626) 798-8991

## Contact information

- **Practice address:** 2637 E WASHINGTON BLVD, PASADENA, CA 91107-1412
- **Practice address phone:** (626) 798-8991
- **Practice address fax:** (626) 798-5086
- **Mailing address:** 2637 E WASHINGTON BLVD, PASADENA, CA 91107-1412
- **Mailing address phone:** (626) 798-8991
- **Mailing address fax:** (626) 798-5086

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05464G | — | CA |