Organization
TULARE LAKE POST ACUTE LLC
Active
Parent organization
ASSEMBLY HEALTH GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSEMBLY HEALTH GROUP LLC
Authorized official
CRYSTAL SOLORZANO (MANAGER)
(626) 658-7344
Entity
Organization
Contact information
Practice address
604 E MERRITT AVE, TULARE, CA 93274-2135
(559) 686-1601
Mailing address
107 W LEMON AVE, MONROVIA, CA 91016-2809
(323) 836-9397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056261
MEDICARE PTAN
CA
05
—
1316011851
—
CA
05
—
ZZT062611
—
CA
Enumeration date
04/29/2019
Last updated
04/29/2019
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