Organization
EMMANUEL HEALTHCARE CENTER PINECREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDA L DAGENAIS LIC ADMINISTRATOR (ADMINISTRATOR)
(323) 560-0720
Entity
Organization
Contact information
Practice address
6025 PINE AVE, MAYWOOD, CA 90270-3108
(323) 560-0720
(323) 773-7872
Mailing address
6025 PINE AVE, MAYWOOD, CA 90270-3108
(323) 560-0720
(323) 773-7872
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
11/18/2005
Last updated
08/22/2020
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