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Organization
SANTA FE LODGE LLC
Active
Organization
SANTA FE LODGE LLC
Active
Other names
Santa Fe Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRIEDMAN (MANAGING MEMBER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
5053 PECK RD, EL MONTE, CA 91732-1456
(626) 448-4248
Mailing address
4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(213) 368-8560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851763908
—
CA
Enumeration date
10/28/2015
Last updated
06/14/2017
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