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 |