Organization
THE HEALING SANCTUM-GREENMEADOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINH NGUYEN MD (OWNER / FACILITY MEDICAL DIRECTOR)
(562) 212-1272
Entity
Organization
Contact information
Practice address
5302 E GREENMEADOW RD, LONG BEACH, CA 90808-1620
(562) 452-7893
Mailing address
5302 E GREENMEADOW RD, LONG BEACH, CA 90808-1620
(562) 452-7893
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550005794
—
CA
Enumeration date
11/06/2020
Last updated
11/06/2020
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