Organization
CASITAS OPERATING COMPANY LLC
Active
Other names
Casitas Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT REISS (MANAGER)
(818) 368-5200
Entity
Organization
Contact information
Practice address
10626 BALBOA BLVD, GRANADA HILLS, CA 91344-6329
(818) 368-2802
(818) 368-0525
Mailing address
10626 BALBOA BLVD, ACCOUNTING OFFICE, GRANADA HILLS, CA 91344-6329
(818) 368-2802
(818) 368-0825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06148J
—
CA
Enumeration date
10/03/2005
Last updated
01/29/2008
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