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Organization

SAN GABRIEL MEDICAL INVESTORS, LLC

Active
Other names
LIFE CARE CENTER OF SAN GABRIEL
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EUNICE R FLETCHER (SR. EXECUTIVE DIRECTOR)
(626) 289-5365
Entity
Organization

Contact information

Practice address
909 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
(626) 289-5365
(626) 289-9503
Mailing address
909 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
(626) 289-5365
(626) 289-9503

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT05105N
CA
Enumeration date
06/24/2006
Last updated
08/22/2020
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