| NPI | 1588997431 |
|---|---|
| Other Name | COUNTRY VILLA HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHERYL PETTERSON Vice President Cams 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |