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Organization

MGH CORPORATION

Active
Other names
BRITTNEY'S PLACE
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE WEATHERSBY (SECRETARY)
(323) 754-1408
Entity
Organization

Contact information

Practice address
1217 W 101ST ST, LOS ANGELES, CA 90044-1801
(323) 754-9051
(323) 754-8832
Mailing address
1202 W 101ST ST, LOS ANGELES, CA 90044-1802
(323) 754-1408
(323) 754-8832

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
CA

Other

Enumeration date
04/18/2007
Last updated
08/24/2007
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