Organization
GRANADA POST ACUTE LP
Active
Other names
Granada Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELINA SARTE (AR SUPERVISOR)
(818) 786-3470
Entity
Organization
Contact information
Practice address
3565 E IMPERIAL HWY, LYNWOOD, CA 90262-2654
(310) 638-9377
(310) 632-8315
Mailing address
3565 E IMPERIAL HWY, LYNWOOD, CA 90262-2654
(310) 638-9377
(310) 632-8315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55348G
—
CA
Enumeration date
05/05/2017
Last updated
07/11/2019
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