Organization
PRN CONVALESCENT HOSPITAL INC
Active
Other names
HIGH VALLEY LODGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS M ALBERT (CEO)
(818) 352-3158
Entity
Organization
Contact information
Practice address
7912 TOPLEY LN, SUNLAND, CA 91040-3336
(818) 352-3158
(818) 352-3718
Mailing address
7912 TOPLEY LN, SUNLAND, CA 91040-3336
(818) 352-3158
(818) 352-2885
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05856H
—
CA
Enumeration date
11/22/2006
Last updated
12/07/2023
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