Organization
HOLLYWOOD CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYONG SUK LEE PRESIDENT (ADMINISTRATOR)
(909) 618-7575
Entity
Organization
Contact information
Practice address
13307 STAGG ST, NORTH HOLLYWOOD, CA 91605-1736
(909) 519-3306
Mailing address
13307 STAGG ST, NORTH HOLLYWOOD, CA 91605-1736
(909) 519-3306
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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