Organization
SOUTH FORK HEALTHCARE, LLC
Active
Other names
DBA SERRANO SOUTH CONV HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILAH GRIER (AR DIRECTOR)
(323) 461-4301
Entity
Organization
Contact information
Practice address
5400 FOUNTAIN AVE, LOS ANGELES, CA 90029-1007
(323) 461-4301
(323) 461-2784
Mailing address
5400 FOUNTAIN AVE, LOS ANGELES, CA 90029-1007
(323) 461-4301
(323) 461-2784
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/12/2016
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