Organization
PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHLOMO RECHNITZ (MANAGING MEMBER)
(626) 800-1191
Entity
Organization
Contact information
Practice address
126 N SAN GABRIEL BLVD, SAN GABRIEL, CA 91775-2427
(626) 285-3131
(323) 286-2391
Mailing address
126 N SAN GABRIEL BLVD, SAN GABRIEL, CA 91775-2427
(626) 285-3131
(323) 286-2391
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05056F
—
CA
Enumeration date
06/01/2012
Last updated
10/19/2022
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