Organization
EMERALD ISLE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DAWN MARTZ (PRESIDENT)
(310) 378-2270
Entity
Organization
Contact information
Practice address
27781 HAWTHORNE BLVD, RANCHO PALOS VERDES, CA 90275-3401
(310) 351-7075
(310) 373-5338
Mailing address
520 PALOS VERDES BLVD, REDONDO BEACH, CA 90277-6515
(310) 378-2270
(310) 373-5338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
198201753
CA
310400000X
Assisted Living Facility
Primary
198202539
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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