# C STREET HEALTH ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glenwood Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619976131
- **Authorized official:** MS. SOON BURNAM (AUTHORIZED AGENT OFFICER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 1300 N C ST, OXNARD, CA 93030-4006
- **Practice address phone:** (805) 983-0305
- **Practice address fax:** (805) 983-2514
- **Mailing address:** 1300 N C ST, OXNARD, CA 93030-4006
- **Mailing address phone:** (805) 983-0305
- **Mailing address fax:** (805) 983-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000033 | CA | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 02/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55458G | — | CA |