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Organization

EISENHOWER NURSING & CONVALESCENT HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID H BERGER (PRESIDENT)
(626) 798-9133
Entity
Organization

Contact information

Practice address
1470 N FAIR OAKS AVE, PASADENA, CA 91103-1801
(626) 798-9133
(626) 798-7704
Mailing address
1470 N FAIR OAKS AVE, PASADENA, CA 91103-1801
(626) 798-9133
(626) 798-7704

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT05617J
CA
Enumeration date
06/01/2005
Last updated
08/22/2020
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