Country Villa East, L.p.
NPI #1538153572 in North Hills, California
Provider Information
- NPI Number
- 1538153572
- Entity Type
- Organization
- Organization Name
- Country Villa East, L.p.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 6, 2005
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 9655 SEPULVEDA BLVD
- City
- North Hills
- State
- California
- ZIP Code
- 91343-3307
- Phone
- (818) 892-8665
Authorized Official
- Name
- MR. STEPHEN E. REISSMAN
- Title
- MANAGING MEMBER OF GENERAL PARTNER
- Phone
- (310) 574-3733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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