Organization
CENTENNIAL HEALTHCARE LLC
Active
Other names
gateway homes
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY JACOBS (MANAGER)
(818) 881-1182
Entity
Organization
Contact information
Practice address
7504 CAPPS AVE, RESEDA, CA 91335-2710
(818) 881-1182
(562) 268-1608
Mailing address
7504 CAPPS AVE, RESEDA, CA 91335-2710
(818) 881-1182
(562) 268-1608
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
550000738
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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