| NPI | 1083608293 |
|---|---|
| Doing Business As | COUNTRY VILLA LOS FELIZ HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. REISSMAN Trustee Of Managing Member 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000041) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2014-01-29 |