| NPI | 1710227996 |
|---|---|
| Doing Business As | COUNTRY VILLA PLAZA HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN REISSMAN CEO 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 060000168) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |