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NPI Code Detail

MEDICARE: LONG BEACH HEALTHCARE CENTER LLC

MEDICARE: LONG BEACH 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 : 1740724350
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONG BEACH HEALTHCARE CENTER LLC
Provider Business Mailing Address
First Line : 3401 CEDAR AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4422
Country : US
Telephone Number : 562-426-4461
Fax Number : 562-426-5731
Provider Business Practice Location Address
First Line : 3401 CEDAR AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4422
Country : US
Telephone Number : 562-426-4461
Fax Number : 562-426-5731
Authorized Official
Title or Position : MANAGER
Name : MR. DOV E JACOBS
Credential :
Telephone Number : 562-426-4461
Provider Enumeration Date : 12/16/2016
Last Update Date : 12/16/2016

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Directions to “LONG BEACH HEALTHCARE CENTER LLC ” Practice Location

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