Organization
CHESTNUT RIDGE POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP L CHASE (MANAGER)
(818) 240-1610
Entity
Organization
Contact information
Practice address
525 S CENTRAL AVE, GLENDALE, CA 91204-2006
(818) 240-1610
(818) 845-1169
Mailing address
8484 WILSHIRE BLVD STE 215, BEVERLY HILLS, CA 90211-3245
(818) 240-1610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06190F
—
CA
Enumeration date
03/26/2021
Last updated
03/26/2021
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