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Organization
UNITED CONVALESCENT FACILITIES, INC.
Active
Organization
UNITED CONVALESCENT FACILITIES, INC.
Active
Other names
Maple Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
2625 MAPLE AVENUE, LOS ANGELES, CA 90011
(213) 747-6371
(213) 747-1615
Mailing address
2625 MAPLE AVENUE, LOS ANGELES, CA 90011
(213) 747-6371
(310) 574-1322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05036I
—
CA
Enumeration date
09/13/2005
Last updated
07/21/2014
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