# 1440 SOUTH EUCLID ST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** buena vista care center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740275486
- **Authorized official:** CAROLINE L BOYER (DIRECTOR OF PATIENT ACCOUNTING)
- **Authorized official phone:** (818) 367-9546

## Contact information

- **Practice address:** 1440 S EUCLID ST, ANAHEIM, CA 92802-2156
- **Practice address phone:** (714) 535-7264
- **Practice address fax:** (714) 535-0940
- **Mailing address:** 1440 S EUCLID ST, ANAHEIM, CA 92802-2156
- **Mailing address phone:** (714) 535-7264
- **Mailing address fax:** (714) 535-0940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05459J | — | CA |