Organization
GLENDALE CV OPERATING COMPANY, LLC
Active
Other names
Glendale Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
1208 SOUTH CENTRAL AVENUE, GLENDALE, CA 91204
(818) 246-5516
(818) 246-9853
Mailing address
1208 SOUTH CENTRAL AVENUE, GLENDALE, CA 91204
(818) 246-5516
(310) 574-1322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55609G
—
CA
Enumeration date
09/15/2005
Last updated
07/21/2014
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