Organization
MARLINDA CONVALESCENT HOSPITAL, INC
Active
Other names
Bloomfield East
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LANCE (CEO)
(310) 638-6691
Entity
Organization
Contact information
Practice address
3615 E IMPERIAL HWY, LYNWOOD, CA 90262-2652
(310) 638-6691
Mailing address
3351 E IMPERIAL HWY, LYNWOOD, CA 90262-3305
(310) 638-6691
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05052F
—
CA
Enumeration date
11/15/2006
Last updated
12/03/2013
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