Organization
DAVID KLEIS II, LLC
Active
Other names
Palm Grove Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAE T KNIGHT (ADMINISTRATOR)
(951) 845-3125
Entity
Organization
Contact information
Practice address
1665 E 8TH ST, BEAUMONT, CA 92223-2512
(951) 845-3125
(951) 769-1582
Mailing address
1665 E 8TH ST, BEAUMONT, CA 92223-2512
(951) 845-3125
(951) 769-1582
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55740G
—
CA
Enumeration date
11/09/2005
Last updated
08/22/2020
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