| NPI | 1215492095 |
|---|---|
| Doing Business As | MESQUITE VILLAGE HEALTHCARE CENTRE |
| Entity Type | Organization |
| Authorized Contact | MARK LAZAR Authorized Representative 323-651-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2020-10-09 |