Organization
GRANCARE LLC
Active
Other names
Verdugo Vista Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA SAAVEDRA (REGIONAL FINANCIAL ANALYST)
(707) 208-1940
Entity
Organization
Contact information
Practice address
3050 MONTROSE AVE, LA CRESCENTA, CA 91214-3619
(818) 957-0850
Mailing address
3050 MONTROSE AVE, LA CRESCENTA, CA 91214-3619
(818) 957-0850
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05960K
—
CA
Enumeration date
02/08/2006
Last updated
08/22/2020
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