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Organization
SYCAMORE PARK CARE CENTER, LLC
Active
Organization
SYCAMORE PARK CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE STONG (GOVERNING BODY)
13232233441
Entity
Organization
Contact information
Practice address
4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
(132) 322-3244
(132) 322-3956
Mailing address
4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
(132) 322-3244
(132) 322-3956
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO5163F
—
CA
Enumeration date
06/23/2006
Last updated
09/08/2011
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