Organization
GREENFIELD CARE CENTER OF FULLERTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENQ H CHEN (OWNER)
(310) 889-9929
Entity
Organization
Contact information
Practice address
330 W BASTANCHURY RD, FULLERTON, CA 92835-3403
(714) 879-4511
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06151H
—
CA
Enumeration date
09/29/2005
Last updated
03/20/2017
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