Organization
SLCH INC
Active
Other names
Sophia Lyn Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP S ROSALES (PRESIDENT)
(626) 798-0558
Entity
Organization
Contact information
Practice address
1570 N FAIR OAKS AVE, PASADENA, CA 91103
(626) 798-0558
(626) 798-8240
Mailing address
1570 N FAIR OAKS AVE, PASADENA, CA 91103
(626) 798-0558
(626) 798-8240
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC06343F
—
CA
Enumeration date
12/06/2006
Last updated
09/13/2013
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