Organization
ELMS SANITARIUM INC
Active
Other names
ELMS CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES MAE DIEHL R.N. (ADMINISTRATOR)
(818) 240-6720
Entity
Organization
Contact information
Practice address
212 W CHEVY CHASE DR, GLENDALE, CA 91204-2318
(818) 240-6720
(818) 247-3942
Mailing address
212 W CHEVY CHASE DR, GLENDALE, CA 91204-2318
(818) 240-6720
(818) 247-3942
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55605F
—
CA
Enumeration date
08/17/2006
Last updated
08/22/2020
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