Organization
SYCAMORE PARK CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE STONG (GOVERNING BODY)
13232233441
Entity
Organization
Contact information
Practice address
4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
(132) 322-3244
(132) 322-3956
Mailing address
4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
(132) 322-3244
(132) 322-3956
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO5163F
—
CA
Enumeration date
06/23/2006
Last updated
09/08/2011
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