Organization · Type 2 NPI

Country Villa Imperial LLC

Skilled Nursing Facility · Los Angeles, CA

NPI number 1083608293 Active

Practice location

3002 Rowena Ave
Los Angeles, CA 90039-2005

Call (323) 666-1544 Map

Fax (323) 666-9584

Mailing address

5120 W Goldleaf Cir, Suite 400
Los Angeles, CA 90056-1292

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X970000041 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1083608293

Country Villa Imperial LLC's National Provider Identifier is 1083608293, issued on Sep 1, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 29, 2014.