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Organization
CASITAS OPERATING COMPANY LLC
Active
Organization
CASITAS OPERATING COMPANY LLC
Active
Other names
Casitas Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT REISS (MANAGER)
(818) 368-5200
Entity
Organization
Contact information
Practice address
10626 BALBOA BLVD, GRANADA HILLS, CA 91344-6329
(818) 368-2802
(818) 368-0525
Mailing address
10626 BALBOA BLVD, ACCOUNTING OFFICE, GRANADA HILLS, CA 91344-6329
(818) 368-2802
(818) 368-0825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06148J
—
CA
Enumeration date
10/03/2005
Last updated
01/29/2008
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