Organization
HOLIDAY MANOR CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTORIO OCBENA SOSING NHA (ADMINISTRATOR)
(818) 341-9800
Entity
Organization
Contact information
Practice address
20554 ROSCOE BLVD, CANOGA PARK, CA 91306-1746
(818) 341-9800
(818) 341-1925
Mailing address
20554 ROSCOE BLVD, CANOGA PARK, CA 91306-1746
(818) 341-9800
(818) 341-1925
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18160G
—
CA
Enumeration date
10/17/2005
Last updated
08/22/2020
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