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

COUNTRY VILLA PARK MARINO HEALTHCARE CENTER, LLC

Active Organization

COUNTRY VILLA PARK MARINO HEALTHCARE CENTER, LLC is a Skilled Nursing Facility organization located in PASADENA, California. NPI 1811982176 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · PASADENA, CA

Registration Details

NPI Number
1811982176
Provider Type
Organization
NPI Issued
Sep 13, 2005 (20.874822054698 yrs)
Last Updated
Jan 20, 2009
License
970000088 (CA)

Practice Information

Address
2585 E WASHINGTON BLVD
PASADENA, CA, 911071446
Browse CA providers · Browse ZIP 91107
Phone
6264634105
Fax
6267985121
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.