Organization
WINDSOR MARYLAND GARDENS, LLC
Active
Other names
Maryland Gardens Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
(310) 385-1090
Entity
Organization
Contact information
Practice address
31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
(602) 265-7484
(602) 279-6030
Mailing address
9200 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-3502
(310) 385-1076
(310) 595-3736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
10/22/2012
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