Healthcare Provider Details

I. General information

NPI: 1497293070
Provider Name (Legal Business Name): WINDSOR ARVIN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 CAMPUS DRIVE
ARVIN CA
93203
US

IV. Provider business mailing address

9200 WEST SUNSET BLVD 700
WEST HOLLYWOOD CA
90069-3603
US

V. Phone/Fax

Practice location:
  • Phone: 661-854-4475
  • Fax:
Mailing address:
  • Phone: 310-385-1090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. LAWRENCE FEIGEN
Title or Position: MANAGING MEMBER
Credential:
Phone: 310-385-1090