Organization
EAST HEALTHCARE CENTER, LLC
Active
Other names
Country Villa East Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL A PETTERSON (VP BUSINESS SERVICES)
(323) 596-2145
Entity
Organization
Contact information
Practice address
2415 S WESTERN AVE, LOS ANGELES, CA 90018-2608
(323) 734-1101
(323) 734-3872
Mailing address
2415 S WESTERN AVE, LOS ANGELES, CA 90018-2608
(323) 734-1101
(323) 734-3872
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06114H
—
CA
Enumeration date
12/11/2012
Last updated
12/11/2012
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