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Organization
NOTELLAGE CORPORATION
Active
Organization
NOTELLAGE CORPORATION
Active
Other names
College Vista Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE NELSON (A/R MANAGER)
(714) 577-3880
Entity
Organization
Contact information
Practice address
4681 EAGLE ROCK BLVD, LOS ANGELES, CA 90041
(323) 257-8151
(323) 257-2187
Mailing address
3050 SATURN STREET, STE 201, BREA, CA 92821
(714) 577-3880
(714) 577-3895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ0T5538H
—
CA
Enumeration date
10/13/2005
Last updated
10/12/2015
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