Organization
ROYAL TERRACE LLC
Active
Other names
ROYAL TERRACE HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA FLORO CRUZ (PRESIDENT)
(323) 965-0600
Entity
Organization
Contact information
Practice address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
(626) 256-9354
Mailing address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
(626) 256-9354
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437147022
—
CA
05
—
ZZT05541H
—
CA
Enumeration date
10/08/2005
Last updated
11/04/2014
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