Organization
KIRKSIDE FACILITIES OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EASTON (OWNER)
(702) 308-7191
Entity
Organization
Contact information
Practice address
6380 WILSHIRE BLVD, LOS ANGELES, CA 90048-5003
(323) 651-1808
Mailing address
6380 WILSHIRE BLVD, LOS ANGELES, CA 90048-5003
(323) 651-1808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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