Organization
GHC OF LOMPOC, LLC
Active
Other names
Lompoc Skilled Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS OLDS JR. (PRESIDENT/OWNER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
1428 W NORTH AVE, LOMPOC, CA 93436-3961
(805) 735-4010
Mailing address
1428 W NORTH AVE, LOMPOC, CA 93436-3961
(805) 735-4010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC9008F
—
CA
Enumeration date
12/20/2012
Last updated
08/05/2024
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