Sunshine 1 Congregate Home INC
Skilled Nursing Facility in Lomita, CA. Organization (NPI-2).
NPI number1982184743
StatusActive
Last updated in NPPESAug 20, 2018
Details
- NPI
- 1982184743
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunshine 1 Congregate Home INC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2018
- Last updated
- Aug 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
1721 242nd StLomita, CA 90717-1306
Phone 424-347-7065 · Fax 424-347-7085
Mailing address
1721 242nd StLomita, CA 90717-1306
Phone 424-347-7065 · Fax 424-347-7085
Authorized official
Ildiko Brown
Ceo
4243477065
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