Organization
ALLEN CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN OKOROCHA (PRESIDENT)
(310) 644-5151
Entity
Organization
Contact information
Practice address
201 ALLEN AVE, GLENDALE, CA 91201-2803
(818) 845-8507
Mailing address
201 ALLEN AVE, GLENDALE, CA 91201-2803
(818) 845-8507
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT0611M
—
CA
Enumeration date
08/14/2007
Last updated
06/24/2015
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