Organization
ROUTE 66 POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SOLORZANO (MANAGER)
(626) 346-0300
Entity
Organization
Contact information
Practice address
638 E COLORADO AVE, GLENDORA, CA 91740-4422
(626) 963-6091
(626) 335-4415
Mailing address
107 W LEMON AVE, MONROVIA, CA 91016-2809
(323) 836-9397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05676G
—
CA
Enumeration date
09/06/2018
Last updated
09/06/2018
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