Organization
NORWALK MEADOWS NURSING CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M GRAFF (MANAGING MEMBER)
(310) 286-3074
Entity
Organization
Contact information
Practice address
10625 LEFFINGWELL RD, NORWALK, CA 90650
(562) 864-2541
(562) 864-2231
Mailing address
1141 S BEVERLY DR, LOS ANGELES, CA 90035-1119
(310) 286-3074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05297J
—
CA
Enumeration date
10/12/2006
Last updated
07/25/2018
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