Organization
ROYAL VISTA CARE CENTER LLC
Active
Other names
Royal Vista Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROGER ALLEN (VICE PRESIDEN OF FINANCE)
(626) 248-3350
Entity
Organization
Contact information
Practice address
909 W SANTA ANITA AVE, SAN GABRIEL, CA 91776-1018
(626) 289-5365
Mailing address
55 S RAYMOND AVE STE 105, ALHAMBRA, CA 91801-7101
(626) 248-3350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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