Emmanuel Healthcare Center Pinecrest
NPI #1366424889 in Maywood, California
Provider Information
- NPI Number
- 1366424889
- Entity Type
- Organization
- Organization Name
- Emmanuel Healthcare Center Pinecrest
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 18, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6025 PINE AVE
- City
- Maywood
- State
- California
- ZIP Code
- 90270-3108
- Phone
- (323) 560-0720
Authorized Official
- Name
- MRS. WENDA L DAGENAIS, LIC ADMINISTRATOR
- Title
- ADMINISTRATOR
- Phone
- (323) 560-0720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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