Organization
ROYAL PALMS CONVALESCENT HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA FLORO CRUZ (PRESIDENT)
(323) 965-0600
Entity
Organization
Contact information
Practice address
630 W BROADWAY, GLENDALE, CA 91204-1008
(818) 247-3395
(818) 247-3611
Mailing address
630 W BROADWAY, GLENDALE, CA 91204-1008
(818) 247-3395
(818) 247-3611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05899I
—
CA
Enumeration date
10/08/2005
Last updated
08/22/2020
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