Organization · Type 2 NPI

Country Villa Imperial, LLC

Skilled Nursing Facility · Ontario, CA

NPI number 1699018739 Active

Practice location

933 E Deodar St
Ontario, CA 91764-1309

Fax (909) 985-1414

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	240000113 (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 1699018739

Country Villa Imperial, LLC's National Provider Identifier is 1699018739, issued on Mar 27, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ontario, CA. The record was last updated on Apr 30, 2013.