Icc Convalescent Corp.

NPI 1265502405 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1265502405
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LYNN LYNN
Position OFFICE MANAGER
Phone (818) 980-8200
Fax (818) 980-2234
Practice Location
11441 VENTURA BLVD
STUDIO CITY CA, 91604-3143, US
Phone (818) 980-8200
Fax (818) 980-2234
Business Location
11441 VENTURA BLVD
STUDIO CITY CA, 91604-3143, US
Phone (818) 980-8200
Fax (818) 980-2234
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Icc Convalescent Corp. NPI is 1265502405, taxonomy code is 314000000X Icc Convalescent Corp. physically located at 11441 Ventura Blvd, Studio City CA, 91604-3143. NPI Number 1033115704 has the healthcare provider type.

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1265502405 NPI number is provided on an as is basis without warranty of any kind. 1265502405 is maintained by the National Plan & Provider Enumeration System. The contents of Icc Convalescent Corp. are for informational purposes only.