# ROYAL VISTA CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Royal Vista Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770083990
- **Authorized official:** DAVID ROGER ALLEN (VICE PRESIDEN OF FINANCE)
- **Authorized official phone:** (626) 248-3350

## Contact information

- **Practice address:** 909 W SANTA ANITA AVE, SAN GABRIEL, CA 91776-1018
- **Practice address phone:** (626) 289-5365
- **Mailing address:** 55 S RAYMOND AVE STE 105, ALHAMBRA, CA 91801-7101
- **Mailing address phone:** (626) 248-3350

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2018
- **Last updated:** 02/14/2018