Knott Avenue Care Center, INC.
Skilled Nursing Facility in Buena Park, CA. Organization (NPI-2).
NPI number1114969540
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114969540
- Entity type
- Organization (NPI-2)
- Legal business name
- Knott Avenue Care Center, INC.
- Organization subpart
- No
- Enumeration date
- Jun 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 060000149 | CA | Yes |
Practice location
9021 Knott AveBuena Park, CA 90620-4138
Phone 714-826-2330 · Fax 714-527-6869
Mailing address
3075 E Thousand Oaks BlvdWestlake Village, CA 91362-3402
Phone 805-497-7330 · Fax 805-497-7440
Authorized official
Elizabeth J. Casey
Cfo
8054977330
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