| NPI | 1801126305 |
|---|---|
| Doing Business As | COUNTRY VILLA TERRACE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CHERYL PETTERSON Vice President Cams 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2022-09-14 |