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Organization

WINDSOR RIDGECREST, LLC

Active
Other names
Ridecrest Healthcare
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
16640 N 38TH ST, PHOENIX, AZ 85032-2103
(602) 482-6671
(602) 482-3541
Mailing address
9200 SUNSET BLVD., SUITE 700 C/O S&F MANAGEMENT COMPANY, LLC,, WEST HOLLYWOOD, CA 90069-3603
(310) 385-1076
(310) 595-3736

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
09/11/2012
Last updated
04/30/2013
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