Organization
DAKOTA MEDICAL INC.
Active
Other names
GLENOAKS CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LEVINE (ADMINISTRATOR)
(818) 240-4300
Entity
Organization
Contact information
Practice address
409 W GLENOAKS BLVD, GLENDALE, CA 91202-2916
(818) 240-4300
Mailing address
409 W GLENOAKS BLVD, GLENDALE, CA 91202-2916
(818) 240-4300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18640G
—
CA
Enumeration date
01/19/2007
Last updated
11/19/2012
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