Organization
SOUTH PASADENA CARE CENTER, LLC
Active
Other names
South Pasadena Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT ZEMEL (MEMBER OF LLC)
(213) 380-9175
Entity
Organization
Contact information
Practice address
904 MISSION ST, SOUTH PASADENA, CA 91030-3144
(626) 399-0358
(626) 460-6097
Mailing address
831 S LAKE ST, LOS ANGELES, CA 90057-4013
(213) 380-9175
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970000038
SKILLED NURSING FACILITY LICENSE
CA
Enumeration date
08/05/2015
Last updated
03/03/2016
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