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Organization
ATLAS CARE ENTERPRISES INCORPORATED
Active
Organization
ATLAS CARE ENTERPRISES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIL V CONSOLACION NHA5683 (ADMINISTRATOR)
(323) 261-8108
Entity
Organization
Contact information
Practice address
101 S FICKETT ST, LOS ANGELES, CA 90033-4017
(323) 261-8108
(323) 261-8213
Mailing address
101 S FICKETT ST, LOS ANGELES, CA 90033-4017
(323) 261-8108
(323) 261-8213
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06063H
—
CA
Enumeration date
11/07/2005
Last updated
04/22/2008
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