Organization
ENSIGN PALM I LLC
Active
Other names
Premier Care Center for Palm Springs
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2990 E RAMON RD, PALM SPRINGS, CA 92264-7931
(760) 323-2638
(760) 323-1723
Mailing address
2990 E RAMON RD, PALM SPRINGS, CA 92264-7931
(760) 323-2638
(760) 323-1723
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18650I
—
CA
Enumeration date
07/18/2005
Last updated
02/17/2021
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