Organization
WINDSOR PALM VALLEY, LLC
Active
Other names
Palm Valley Rehabilitation & Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
(310) 385-1090
Entity
Organization
Contact information
Practice address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
(623) 536-9911
(623) 536-9502
Mailing address
9200 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-3502
(310) 385-1076
(310) 595-3736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
04/30/2013
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