| 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 |