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Organization
WINDSOR MARYLAND GARDENS, LLC
Active
Organization
WINDSOR MARYLAND GARDENS, LLC
Active
Other names
Maryland Gardens Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
(310) 385-1090
Entity
Organization
Contact information
Practice address
31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
(602) 265-7484
(602) 279-6030
Mailing address
9200 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-3502
(310) 385-1076
(310) 595-3736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
09/11/2012
Last updated
10/22/2012
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