Organization
GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Active
Other names
Joyce Eisenberg Keefer Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI CUNNINGHAM (CHIEF FINANCIAL OFFICER)
(818) 774-3000
Entity
Organization
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3000
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550000621
CA
3336L0003X
Long Term Care Pharmacy
HSP48566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487681631
—
CA
Enumeration date
06/26/2006
Last updated
11/13/2008
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