| NPI | 1952395147 |
|---|---|
| Doing Business As | COUNTRY VILLA REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. REISSMAN President 310-574-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000068) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2022-05-02 |