COUNTRY VILLA SOUTH BAY, LLC

Skilled Nursing Facility

Active Organization
NPI: 1649264912

Practice Address

1730 GRAND AVE
Long Beach, CA 90804

Phone: (562) 597-8817

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 940000082 (CA)

Frequently Asked Questions

NPI 1649264912 is the National Provider Identifier for COUNTRY VILLA SOUTH BAY, LLC, a Skilled Nursing Facility provider located in Long Beach, CA. This NPI was enumerated on September 1, 2005.

Quick Facts

NPI
1649264912
Type
Organization
Enumerated
Sep 1, 2005
Last Updated
Jan 29, 2014

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