Organization
SAN GABRIEL HEALTHCARE & WELLNESS CENTRE, LP
Active
Other names
Ivy Creek Healthcare & Wellness Centre
Organization subpart
No
Provider details
NPI number
Authorized official
SHLOMO RECHNITZ (MANAGER)
(626) 800-1191
Entity
Organization
Contact information
Practice address
115 BRIDGE ST, SAN GABRIEL, CA 91775-2719
(626) 289-4439
(626) 289-0056
Mailing address
115 BRIDGE ST, SAN GABRIEL, CA 91775-2719
(626) 289-4439
(626) 289-0056
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC08441F
—
CA
Enumeration date
06/06/2012
Last updated
10/19/2022
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