Organization
ENSIGN SAN DIMAS LLC
Active
Other names
Arbor Glen Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (AUTHORIZED AGENT OFFICER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1033 EAST ARROW HIGHWAY, GLENDORA, CA 91740-6110
(626) 963-7531
(626) 914-7566
Mailing address
1033 EAST ARROW HIGHWAY, GLENDORA, CA 91740-6110
(626) 963-7531
(626) 914-7566
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC06360H
—
CA
Enumeration date
07/22/2005
Last updated
02/17/2021
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