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Organization
14857 ROSCOE BLVD CORPORATION
Active
Organization
14857 ROSCOE BLVD CORPORATION
Active
Other names
SUN AIR CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE PIACENTI SANCHEZ (MANAGER)
(562) 930-0777
Entity
Organization
Contact information
Practice address
14857 ROSCOE BLVD, PANORAMA CITY, CA 91402-4617
(818) 894-5707
(818) 894-8151
Mailing address
4115 E BROADWAY, LONG BEACH, CA 90803-1532
(562) 930-0777
(562) 930-0728
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06137G
—
CA
Enumeration date
09/29/2005
Last updated
12/08/2010
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