Organization
GARDEN PARK CARE CENTER LLC
Active
Other names
Garden Park Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A MORTENSEN (SR VP FINANCE)
(714) 577-3880
Entity
Organization
Contact information
Practice address
12681 HASTER ST, GARDEN GROVE, CA 92840
(714) 971-2153
(714) 750-6913
Mailing address
3050 SATURN ST STE 201, BREA, CA 92821-6278
(714) 577-3880
(714) 577-3895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55667F
—
CA
Enumeration date
09/16/2006
Last updated
08/22/2020
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