Organization
PARKWEST HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LANCE (MANAGER)
(323) 937-6080
Entity
Organization
Contact information
Practice address
6740 WILBUR AVE, RESEDA, CA 91335-5179
(323) 937-6080
Mailing address
8484 WILSHIRE BLVD STE 215, BEVERLY HILLS, CA 90211-3245
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55716F
—
CA
Enumeration date
06/03/2021
Last updated
06/03/2021
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