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Organization
KSM HEALTHCARE, INC.
Active
Organization
KSM HEALTHCARE, INC.
Active
Other names
KING SOLOMON MANAGEMENT INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CURT HAEDRICH NHA (ADMINISTRATOR)
(818) 242-1183
Entity
Organization
Contact information
Practice address
1400 W GLENOAKS BOULEVARD, GLENDALE, CA 91201-1911
(818) 242-1183
(818) 246-1085
Mailing address
1400 W GLENOAKS BOULEVARD, GLENDALE, CA 91201-1911
(818) 242-1183
(818) 246-1085
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90085F
—
CA
Enumeration date
04/18/2006
Last updated
11/21/2011
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