Organization
HUMANGOOD SOCAL
Active
Other names
Windsor Manor
Organization subpart
No
Provider details
NPI number
Authorized official
KATE WINTER (REVENUE CYCLE MANAGER)
(925) 924-7115
Entity
Organization
Contact information
Practice address
1230 E. WINDSOR RD., GLENDALE, CA 91205
(818) 244-7219
(818) 240-3887
Mailing address
516 BURCHETT STREET, GLENDALE, CA 91203-1014
(818) 247-0420
(818) 247-3871
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05312F
—
CA
Enumeration date
12/13/2005
Last updated
05/29/2018
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