NPI | 1326595117 |
---|---|
Doing Business As | GRAND VILLA CONGREGATE LIVING HEALTH FACILITY |
Entity Type | Organization |
Authorized Contact | VANIK POGOSYAN CEO 559-273-1706 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility |
320700000X Residential Treatment Facility, Physical Disabilities | |
Enumeration Date | 2016-09-08 |
Last Update Date | 2019-03-04 |