Organization
GATE THREE HEALTHCARE LLC
Active
Other names
Palm Terrace Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOON BURNAM (AUTHORIZED AGENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
24962 CALLE ARAGON, LAGUNA HILLS, CA 92637-3883
(949) 587-9000
(949) 951-3174
Mailing address
24962 CALLE ARAGON, LAGUNA HILLS, CA 92637-3883
(949) 587-9000
(949) 951-3174
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55257G
—
CA
Enumeration date
09/19/2005
Last updated
02/17/2021
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