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NPI Code Detail

MEDICARE: MANCHESTER HEALTHCARE CENTER, LLC

MEDICARE: MANCHESTER HEALTHCARE CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1326874546
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANCHESTER HEALTHCARE CENTER, LLC
Provider Business Mailing Address
First Line : 7162 BEVERLY BLVD # 565
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-2547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 837 W MANCHESTER AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-4913
Country : US
Telephone Number : 610-457-9593
Fax Number :
Authorized Official
Title or Position : PRINCIPLE
Name : AARON MAYER
Credential :
Telephone Number : 323-422-6003
Provider Enumeration Date : 09/12/2024
Last Update Date : 09/12/2024

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Directions to “MANCHESTER HEALTHCARE CENTER, LLC ” Practice Location

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