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General NPI Number Information
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NPI Number | 1972744837
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Entity Type | Organization
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Legal Business Name | MAYWOOD SKILLED NURSING & WELLNESS CENTRE, LLC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 6025 PINE AVE
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City | MAYWOOD
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State | CA
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Zip | 90270-3108
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Country | US
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Telephone | 323-634-1940
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Fax | 323-634-1943
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Provider Business Mailing Address
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Address Line | 5967 W 3RD ST SUITE 200
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City | LOS ANGELES
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State | CA
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Zip | 90036-2835
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Country | US
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Telephone | 323-634-1940
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Fax | 323-634-1943
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Authorized Official
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Title or Position | MANAGER
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Name | SHLOMO RECHNITZ
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Credential |
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Telephone | 626-800-1191
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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 | 940000116
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License Number State | CA
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