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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY VILLA SOUTH BAY, LLC

Active Organization

COUNTRY VILLA SOUTH BAY, LLC is a Skilled Nursing Facility organization located in VAN NUYS, California. NPI 1104810159 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · VAN NUYS, CA

Registration Details

NPI Number
1104810159
Provider Type
Organization
NPI Issued
Sep 6, 2005 (20.946812594673 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
13524 SHERMAN WAY
VAN NUYS, CA, 914052830
Browse CA providers · Browse ZIP 91405
Phone
8187863470
Fax
8187860943
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.