Organization · Type 2 NPI

Country Villa South Bay, LLC

Skilled Nursing Facility · Van Nuys, CA

NPI number 1104810159 Active

Practice location

13524 Sherman Way
Van Nuys, CA 91405-2830

Call (818) 786-3470 Map

Fax (818) 786-0943

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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 1104810159

Country Villa South Bay, LLC's National Provider Identifier is 1104810159, issued on Sep 6, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 22, 2020.