| NPI | 1811982176 |
|---|---|
| Doing Business As | COUNTRY VILLA PARK MARINO HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. REISSMAN President Of Cvhs, Manager 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000088) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2009-01-20 |