Organization
SOUTH PASADENA REHABILITATION CENTER, LLC
Active
Other names
MIssion Grove Healthcare & Wellness Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY REGGEV (MEMBER)
(626) 799-9571
Entity
Organization
Contact information
Practice address
904 MISSION ST, SOUTH PASADENA, CA 91030-3144
(626) 799-9571
(626) 799-2734
Mailing address
904 MISSION ST, SOUTH PASADENA, CA 91030-3144
(626) 799-9571
(626) 799-2734
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05931G
—
CA
Enumeration date
07/31/2006
Last updated
03/20/2015
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