# KSM HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KING SOLOMON MANAGEMENT INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952366460
- **Authorized official:** MR. JOHN CURT HAEDRICH NHA (ADMINISTRATOR)
- **Authorized official phone:** (818) 242-1183

## Contact information

- **Practice address:** 1400 W GLENOAKS BOULEVARD, GLENDALE, CA 91201-1911
- **Practice address phone:** (818) 242-1183
- **Practice address fax:** (818) 246-1085
- **Mailing address:** 1400 W GLENOAKS BOULEVARD, GLENDALE, CA 91201-1911
- **Mailing address phone:** (818) 242-1183
- **Mailing address fax:** (818) 246-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000028 | CA | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 11/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC90085F | — | CA |