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Organization
PLAZA HEALTHCARE CENTER, LLC
Active
Organization
PLAZA HEALTHCARE CENTER, LLC
Active
Other names
Country Villa Plaza Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN REISSMAN (CEO)
(310) 574-3733
Entity
Organization
Contact information
Practice address
1209 HEMLOCK WAY, SANTA ANA, CA 92707-3609
(714) 546-1966
(714) 546-6719
Mailing address
1209 HEMLOCK WAY, SANTA ANA, CA 92707-3609
(714) 546-1966
(714) 546-6719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05206K
—
CA
Enumeration date
02/25/2013
Last updated
02/25/2013
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