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Organization
LAIBCO, LLC
Active
Organization
LAIBCO, LLC
Active
Other names
Las Flores Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARYEH LAIB GREENSPOON CAL. ADMIN LICENSE (OWNER/ADMINISTRATOR)
(310) 323-4570
Entity
Organization
Contact information
Practice address
14165 PURCHE AVE, GARDENA, CA 90249-2824
(310) 323-4570
(310) 323-4675
Mailing address
14165 PURCHE AVE, GARDENA, CA 90249-2824
(310) 323-4570
(310) 323-4675
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05057F
—
CA
Enumeration date
07/20/2006
Last updated
10/19/2022
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