Organization
CANYON PROPERTIES, INC.
Active
Other names
Good Shepherd Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUSAN R TOLAND NHA (ADMINISTRATOR)
(818) 896-5391
Entity
Organization
Contact information
Practice address
11505 KAGEL CANYON ST, LAKE VIEW TERRACE, CA 91342-7240
(818) 896-5391
(818) 899-5867
Mailing address
11505 KAGEL CANYON ST, LAKE VIEW TERRACE, CA 91342-7240
(818) 896-5391
(818) 899-5867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55097E
—
CA
Enumeration date
11/09/2005
Last updated
08/22/2020
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