Organization
CANYON PROPERTIES III, LLC
Active
Other names
Country Manor Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA S WELDON (ADMINISTRATOR)
(818) 899-0251
Entity
Organization
Contact information
Practice address
11723 FENTON AVE, LAKE VIEW TERRACE, CA 91342-6431
(818) 899-0251
(818) 890-5400
Mailing address
11723 FENTON AVE, LAKE VIEW TERRACE, CA 91342-6431
(818) 899-0251
(818) 890-5400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05002G
—
CA
Enumeration date
11/09/2005
Last updated
11/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us