Organization
RAY PROPERTIES KIT CARSON INC.
Active
Other names
KIT CARSON NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENQ H CHEN (PRESIDENT)
(310) 889-9929
Entity
Organization
Contact information
Practice address
811 COURT ST, JACKSON, CA 95642-2131
(209) 223-2231
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06198I
—
CA
Enumeration date
10/03/2005
Last updated
09/10/2008
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