Organization
BROADWATER RINALDI CARE CENTER, LLC
Active
Other names
Rinaldi Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EASTON (MANAGER)
(818) 368-1862
Entity
Organization
Contact information
Practice address
16553 RINALDI ST, GRANADA HILLS, CA 91344-3762
(818) 360-1003
(818) 363-8913
Mailing address
16553 RINALDI ST, GRANADA HILLS, CA 91344-3762
(818) 360-1003
(818) 363-8913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235272170
—
CA
Enumeration date
02/14/2007
Last updated
04/14/2009
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