1135 N Leisure Ct Inc

NPI 1033106703 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1033106703
Enumeration Date 09/28/2005
Last Updated 12/08/2010
Entity Type Healthcare Provider
Active Over 13 years ago
Authorized Information
Name ROSALIE PIACENTI ROSALIE
Position MANAGER
Phone (714) 772-1353
Fax (714) 490-2171
Practice Location
1135 N LEISURE CT
ANAHEIM CA, 92801-2939, US
Phone (714) 772-1353
Fax (714) 490-2171
Business Location
4115 E BROADWAY
LONG BEACH CA, 90803-1532, US
Phone (562) 930-0777
Fax (562) 930-0728
Toxanomy
Taxonomy Code 314000000X
License State California
License Number 060000119
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According to our database, 1135 N Leisure Ct Inc NPI is 1033106703, taxonomy code is 314000000X and license number is 060000119, license state is located at California. 1135 N Leisure Ct Inc physically located at 1135 N Leisure Ct, Anaheim CA, 92801-2939. NPI Number 1033115704 has the healthcare provider type.

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1033106703 NPI number is provided on an as is basis without warranty of any kind. 1033106703 is maintained by the National Plan & Provider Enumeration System. The contents of 1135 N Leisure Ct Inc are for informational purposes only.