MEDICARE: MRS. ELEANOR I POSNER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	197602998	CA

General Provider Information

NPI Number	:	1871127340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELEANOR I POSNER RN

Provider Business Mailing Address
First Line	:	11323 CALVERT ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4217
Country	:	US
Telephone Number	:	818-980-6040
Fax Number	:	818-980-6040

Provider Business Practice Location Address
First Line	:	11323 CALVERT ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4217
Country	:	US
Telephone Number	:	818-980-6040
Fax Number	:	818-980-6040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	02/24/2020

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