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Organization
PREMIER CARE SIMI VALLEY LLC
Active
Organization
PREMIER CARE SIMI VALLEY LLC
Active
Other names
Simi Valley Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J. CASEY (CFO)
(805) 497-7330
Entity
Organization
Contact information
Practice address
5270 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4137
(805) 522-9155
(805) 527-9915
Mailing address
3075 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-3402
(805) 497-7330
(805) 497-7440
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55701F
—
CA
Enumeration date
06/11/2006
Last updated
08/22/2020
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