Organization
S.C.C.H., INC.
Active
Other names
COURTYARD CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CHIEF FINANCIAL OFFICER)
(949) 373-8373
Entity
Organization
Contact information
Practice address
1880 DAWSON AVE, SIGNAL HILL, CA 90806-5913
(562) 494-5188
Mailing address
1880 DAWSON AVE, SIGNAL HILL, CA 90755-5913
(562) 494-5188
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55785F
—
CA
Enumeration date
12/07/2005
Last updated
04/05/2024
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