| NPI | 1992554778 |
|---|---|
| Doing Business As | MADISON VILLA |
| Entity Type | Organization |
| Authorized Contact | SHMUEL D STOCK Managing Member 562-843-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |