| NPI | 1831186345 |
|---|---|
| Former Legal Business Name | HOLLENBECK HOME |
| Entity Type | Organization |
| Authorized Contact | JOHNNY T YOUNG Controller 323-263-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000076) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |