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Organization

LIGHTHOUSE HEALTHCARE CENTER, LLC

Active
Other names
Lighthouse Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LIAB GREENSPOON (OWNER)
(323) 569-9565
Entity
Organization

Contact information

Practice address
2222 SANTA ANA BLVD S, LOS ANGELES, CA 90059-1350
(323) 564-4461
(323) 569-9565
Mailing address
2222 SANTA ANA BLVD S, LOS ANGELES, CA 90059-1350
(323) 564-4461
(323) 569-9565

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000071
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT18416H
CA
Enumeration date
03/06/2008
Last updated
10/19/2022
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