| NPI | 1568456739 |
|---|---|
| Doing Business As | COUNTRY VILLA PAVILION HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. REISSMAN Managing Member Of General Partner 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 910000145) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2022-09-14 |