Healthcare Provider Details

I. General information

NPI: 1922089697
Provider Name (Legal Business Name): PLEASANT CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/22/2020
Certification Date:
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
90650-2812
US

V. Phone/Fax

Practice location:
  • Phone: 562-868-6791
  • Fax: 562-868-3552
Mailing address:
  • Phone: 562-868-6791
  • Fax: 562-868-3552

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. JOHN ARTHUR MALLEY
Title or Position: ADMINISTRATOR
Credential: CA NURSING HOME ADMI
Phone: 562-868-6791