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Organization
HYDE PARK CONVALESCENT HOSPITAL, INC.
Active
Organization
HYDE PARK CONVALESCENT HOSPITAL, INC.
Active
Other names
HYDE PARK CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE M WIESEL (ADMINISTRATOR)
(323) 753-1354
Entity
Organization
Contact information
Practice address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(323) 753-1354
(323) 753-0509
Mailing address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(323) 753-1354
(323) 753-0509
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05326G
—
CA
Enumeration date
12/08/2006
Last updated
06/08/2015
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