Organization
LAIBCO, LLC
Active
Other names
Las Flores Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARYEH LAIB GREENSPOON CAL. ADMIN LICENSE (OWNER/ADMINISTRATOR)
(310) 323-4570
Entity
Organization
Contact information
Practice address
14165 PURCHE AVE, GARDENA, CA 90249-2824
(310) 323-4570
(310) 323-4675
Mailing address
14165 PURCHE AVE, GARDENA, CA 90249-2824
(310) 323-4570
(310) 323-4675
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05057F
—
CA
Enumeration date
07/20/2006
Last updated
10/19/2022
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