Organization
C STREET HEALTH ASSOCIATES LLC
Active
Other names
Glenwood 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
1300 N C ST, OXNARD, CA 93030-4006
(805) 983-0305
(805) 983-2514
Mailing address
1300 N C ST, OXNARD, CA 93030-4006
(805) 983-0305
(805) 983-2514
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55458G
—
CA
Enumeration date
07/18/2005
Last updated
02/17/2021
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