12882 SHACKELFORD LANE INC

GARDEN GROVE, CA
NPI1497903868
Doing Business AsGARDEN GROVE CONV HOSPITAL
Entity TypeOrganization
Authorized ContactROSALIE PIACENTI SANCHEZ
Manager
562-930-0777
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: CA  060000112)
Enumeration Date2008-08-28
Last Update Date2010-12-08
Business Address
12882 SHACKELFORD LANE INC
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841-5109
Phone number: 714-638-9470
Mailing Address
12882 SHACKELFORD LANE INC
4115 E BROADWAY
LONG BEACH, CA 90803-1532
Phone number: 562-930-0777