Organization
MAPLE HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIEL BERCOVICH (MANAGER)
(213) 948-0193
Entity
Organization
Contact information
Practice address
2625 MAPLE AVE, LOS ANGELES, CA 90011-1431
(213) 948-0193
(213) 747-1615
Mailing address
2625 MAPLE AVE, LOS ANGELES, CA 90011-1431
(213) 948-0193
(213) 747-1615
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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