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Organization
PLOTT NURSING HOME, LLC
Active
Organization
PLOTT NURSING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PLOTT TYLER J.D. (VICE PRESIDENT OF OPERATIONS)
(323) 655-6960
Entity
Organization
Contact information
Practice address
800 E 5TH ST, ONTARIO, CA 91764-2432
(909) 984-8629
(909) 984-1182
Mailing address
5455 WILSHIRE BLVD, STE 1925, LOS ANGELES, CA 90036-4201
(323) 655-6960
(323) 655-7122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05619I
—
CA
Enumeration date
08/03/2005
Last updated
08/22/2020
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