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 | 2024-11-04 |