Organization
FERNVIEW CONVALESCENT HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN H GARRETT JR. (CEO)
(626) 282-8431
Entity
Organization
Contact information
Practice address
126 N SAN GABRIEL BLVD, SAN GABRIEL, CA 91775-2427
(626) 285-3131
(626) 286-2391
Mailing address
126 N SAN GABRIEL BLVD, SAN GABRIEL, CA 91775-2427
(626) 285-3131
(626) 286-2391
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055056
—
CA
Enumeration date
07/20/2005
Last updated
03/27/2012
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