Organization · Type 2 NPI

12882 Shackelford Lane Inc

Skilled Nursing Facility · Garden Grove, CA

NPI number 1497903868 Active

Practice location

12882 Shackelford Ln
Garden Grove, CA 92841-5109

Call (714) 638-9470 Map

Fax (714) 638-4549

Mailing address

4115 E Broadway
Long Beach, CA 90803-1532

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	060000112 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

3 other providers at this address

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About NPI 1497903868

12882 Shackelford Lane Inc's National Provider Identifier is 1497903868, issued on Aug 28, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Garden Grove, CA. The record was last updated on Dec 8, 2010.