Organization
ORANGETREE CONVALESCENT HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PLOTT TYLER J.D. (VICE PRESIDENT OF OPERATIONS)
(323) 655-6960
Entity
Organization
Contact information
Practice address
4000 HARRISON ST, RIVERSIDE, CA 92503-3514
(951) 785-6060
(951) 785-6710
Mailing address
5455 WILSHIRE BLVD, SUITE 1925, LOS ANGELES, CA 90036-4201
(323) 655-6960
(323) 655-7122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18680I
—
CA
Enumeration date
08/03/2005
Last updated
10/09/2013
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