Organization
ROSE PARK HEALTHCARE ASSOCIATES,INC.
Active
Other names
Shoreline Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4029 E ANAHEIM ST, LONG BEACH, CA 90804-4110
(562) 494-4421
(562) 494-2731
Mailing address
4029 E ANAHEIM ST, LONG BEACH, CA 90804-4110
(562) 494-4421
(562) 494-2731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05353G
—
CA
Enumeration date
07/15/2005
Last updated
02/17/2021
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