Organization
BROKHIM, LLC
Active
Other names
Wilshire Vista Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE BROKHIM (OWNER)
(323) 933-8271
Entity
Organization
Contact information
Practice address
1015 S ORANGE GROVE AVE, LOS ANGELES, CA 90019-6510
(323) 933-8271
(323) 933-8273
Mailing address
1015 S ORANGE GROVE AVE, LOS ANGELES, CA 90019-6510
(323) 933-8271
(323) 933-8273
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
197607392
CA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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