Organization
1130 W LA PALMA AVE INC
Active
Other names
LA PALMA NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALIE PIACENTI SANCHEZ (MANAGER)
(562) 930-0777
Entity
Organization
Contact information
Practice address
1130 W LA PALMA AVE, ANAHEIM, CA 92801-2803
(714) 772-7480
(714) 776-1841
Mailing address
4115 E BROADWAY, LONG BEACH, CA 90803-1532
(562) 930-0777
(562) 930-0728
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55329G
—
CA
Enumeration date
09/28/2005
Last updated
08/18/2008
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