Organization
SANTA CLARITA CONVALESCENT
Active
Other names
Santa Clarita Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. PAVLOW (PRESIDENT)
(702) 893-8962
Entity
Organization
Contact information
Practice address
23801 NEWHALL AVE, NEWHALL, CA 91321-3126
(661) 259-3660
(661) 255-3709
Mailing address
5600 SPRING MOUNTAIN RD, 103, LAS VEGAS, NV 89146-8821
(702) 893-8962
(702) 893-8961
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05728J
—
CA
Enumeration date
05/02/2006
Last updated
03/26/2012
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