# BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Gardens Convalescent Center of Long Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619121092
- **Authorized official:** MR. ASH CHAWLA (VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 3232 E ARTESIA BLVD, LONG BEACH, CA 90805-2811
- **Practice address phone:** (562) 422-9219
- **Practice address fax:** (562) 428-0280
- **Mailing address:** 3232 E ARTESIA BLVD, LONG BEACH, CA 90805-2811
- **Mailing address phone:** (562) 422-9219
- **Mailing address fax:** (562) 428-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000067 | CA | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 01/02/2014
