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12882 Shackelford Lane Inc
Skilled Nursing Facility in Garden Grove, California
NPI 1497903868

12882 Shackelford Lane Inc is a Skilled Nursing Facility based in Long Beach, CA. 12882 Shackelford Lane Inc practices in Garden Grove, CA. The NPI Number for 12882 Shackelford Lane Inc is 1497903868 and holds a License No. 060000112 (California).

The current practice location address for 12882 Shackelford Lane Inc is 12882 Shackelford Ln, Garden Grove, CA and can be reached out via phone at 714-638-9470 and via fax at 714-638-4549.

Location: 12882 Shackelford Ln, Garden Grove, CA, 90803-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497903868
Provider Name
12882 Shackelford Lane Inc
Credential
Provider Entity Type
Organization
Address
12882 Shackelford Ln, Garden Grove, CA, 90803-1532
Phone Number
714-638-9470
Fax Number
714-638-4549
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT06145H 05 CA
institution
Provider Business Practice Location Address Details
Address
12882 Shackelford Ln
City
Garden Grove
State
California
Zip
92841-5109
Phone Number
714-638-9470
Fax Number
714-638-4549
person
Provider Business Mailing Address Details
Address
12882 Shackelford Ln
City
Garden Grove
State
California
Zip
92841-5109
Phone Number
714-638-9470
Fax Number
714-638-4549
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
060000112 (California)
Definition
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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