Healthcare Provider Details

I. General information

NPI: 1174723530
Provider Name (Legal Business Name): NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11510 IMPERIAL HWY
NORWALK CA
90650-2812
US

IV. Provider business mailing address

11510 IMPERIAL HWY
NORWALK CA
90650-2801
US

V. Phone/Fax

Practice location:
  • Phone: 562-868-6791
  • Fax: 562-863-7123
Mailing address:
  • Phone: 562-868-6791
  • Fax: 562-863-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number940000141
License Number StateCA

VIII. Authorized Official

Name: MR. SHLOMO RECHNITZ
Title or Position: MANAGER
Credential:
Phone: 626-800-1191