Organization
HYDE PARK CONVALESCENT HOSPITAL, INC.
Active
Other names
HYDE PARK CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE M WIESEL (ADMINISTRATOR)
(323) 753-1354
Entity
Organization
Contact information
Practice address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(323) 753-1354
(323) 753-0509
Mailing address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(323) 753-1354
(323) 753-0509
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05326G
—
CA
Enumeration date
12/08/2006
Last updated
06/08/2015
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