Organization
BROADWATER SUNRAY CARE CENTER, LLC
Active
Other names
Sunray Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EASTON (MANAGER)
(818) 368-1862
Entity
Organization
Contact information
Practice address
3210 W PICO BLVD, LOS ANGELES, CA 90019-3643
(323) 734-2171
(323) 734-1825
Mailing address
3210 W PICO BLVD, LOS ANGELES, CA 90019-3643
(323) 734-2171
(323) 734-1825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000023
CA
Other
Enumeration date
02/13/2007
Last updated
06/09/2008
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