Organization · Type 2 NPI

Country Villa South Bay, LLC

Skilled Nursing Facility · Long Beach, CA

NPI number 1447244801 Active

Practice location

5901 Downey Ave
Long Beach, CA 90805-4518

Fax (562) 630-2039

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X940000011 (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 1447244801

Country Villa South Bay, LLC's National Provider Identifier is 1447244801, issued on Aug 31, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Long Beach, CA. The record was last updated on Jan 29, 2014.