# LAIBCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Flores Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942220421
- **Authorized official:** MR. ARYEH LAIB GREENSPOON CAL. ADMIN LICENSE (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (310) 323-4570

## Contact information

- **Practice address:** 14165 PURCHE AVE, GARDENA, CA 90249-2824
- **Practice address phone:** (310) 323-4570
- **Practice address fax:** (310) 323-4675
- **Mailing address:** 14165 PURCHE AVE, GARDENA, CA 90249-2824
- **Mailing address phone:** (310) 323-4570
- **Mailing address fax:** (310) 323-4675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000073 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 10/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05057F | — | CA |