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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 LONG BEACH, California. NPI 1649264912 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · LONG BEACH, CA

Registration Details

NPI Number
1649264912
Provider Type
Organization
NPI Issued
Sep 1, 2005 (20.968906866671 yrs)
Last Updated
Jan 29, 2014
License
940000082 (CA)

Practice Information

Address
1730 GRAND AVE
LONG BEACH, CA, 908042011
Browse CA providers · Browse ZIP 90804
Phone
5625978817
Fax
5624982261
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in LONG BEACH, CA

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.