Organization
CENTRAL CONVALESCENT HOSPITAL OF GLENDALE INC
Active
Other names
CHANDLER CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LEVINE (ADMINISTRATOR)
(818) 240-1610
Entity
Organization
Contact information
Practice address
525 S CENTRAL AVE, GLENDALE, CA 91204-2006
(818) 240-1610
Mailing address
525 S CENTRAL AVE, GLENDALE, CA 91204-2006
(818) 240-1610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06190F
—
CA
Enumeration date
01/19/2007
Last updated
11/19/2012
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