Organization
1440 SOUTH EUCLID ST LLC
Active
Other names
buena vista care center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE L BOYER (DIRECTOR OF PATIENT ACCOUNTING)
(818) 367-9546
Entity
Organization
Contact information
Practice address
1440 S EUCLID ST, ANAHEIM, CA 92802-2156
(714) 535-7264
(714) 535-0940
Mailing address
1440 S EUCLID ST, ANAHEIM, CA 92802-2156
(714) 535-7264
(714) 535-0940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05459J
—
CA
Enumeration date
09/19/2005
Last updated
08/22/2020
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