Organization
HOLLENBECK PALMS
Active
Other names
Hollenbeck Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY T YOUNG (CONTROLLER)
(323) 263-6195
Entity
Organization
Contact information
Practice address
573 S BOYLE AVE, LOS ANGELES, CA 90033-3816
(323) 263-6195
(323) 268-1248
Mailing address
573 S BOYLE AVE, LOS ANGELES, CA 90033-3816
(323) 263-6195
(323) 780-3152
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05115F
—
CA
Enumeration date
09/29/2005
Last updated
11/04/2024
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