| NPI | 1083959423 |
|---|---|
| Doing Business As | COUNTRY VILLA EAST NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHERYL A PETTERSON VP Business Services 323-596-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000018) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |