Organization
INDUSTRY CONVALESCENT HOSPITAL
Active
Other names
EL ENCANTO HEALTHCARE & HABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH CALVO (ADMINISTRATOR)
(626) 336-1274
Entity
Organization
Contact information
Practice address
555 S. EL ENCANTO RD, CITY OF INDUSTRY, CA 91745
(626) 336-1274
(626) 330-2789
Mailing address
555 S. EL ENCANTO ROAD, CITY OF INDUSTRY, CA 91745
(626) 336-1274
(626) 330-2789
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
960000747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18646G
—
CA
Enumeration date
05/24/2005
Last updated
01/20/2012
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