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General NPI Number Information
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NPI Number | 1346225059
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Entity Type | Organization
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Legal Business Name | B&E CONVALESCENT CENTER, INC.
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 14819 S VERMONT AVE
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City | GARDENA
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State | CA
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Zip | 90247-3002
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Country | US
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Telephone | 310-532-9460
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Fax | 310-532-0083
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Provider Business Mailing Address
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Address Line | 14819 S VERMONT AVE
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City | GARDENA
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State | CA
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Zip | 90247-3002
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Country | US
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Telephone | 310-532-9460
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Fax | 310-532-0083
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR OF PT ACCOUNTING
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Name | MS. TAMMY MORA
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Credential |
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Telephone | 562-576-1284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 910000136
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License Number State | CA
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