| NPI | 1780678730 |
|---|---|
| Doing Business As | COUNTRY VILLA SOUTH 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 910000122) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2022-10-19 |