NPI | 1457345001 |
---|---|
Doing Business As | COUNTRY MANOR LA MESA HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | JACOB WINTNER Manager 323-651-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 080000020) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2014-07-21 |