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Organization
SOUTHLAND MANAGMENT LLC
Active
Organization
SOUTHLAND MANAGMENT LLC
Active
Other names
Southland Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (AUTHORIZED AGENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
11701 STUDEBAKER RD, NORWALK, CA 90650-7544
(562) 868-9761
(562) 863-0336
Mailing address
11701 STUDEBAKER RD, NORWALK, CA 90650-7544
(562) 868-9761
(562) 863-0336
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18696K
—
CA
Enumeration date
09/16/2005
Last updated
02/17/2021
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