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Organization
LOS FELIZ HEALTHCARE CENTER, LLC
Active
Organization
LOS FELIZ HEALTHCARE CENTER, LLC
Active
Other names
Country Villa Los Feliz Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL A PETTERSON (VP BUSINESS SERVICES)
(323) 596-2145
Entity
Organization
Contact information
Practice address
3002 ROWENA AVE, LOS ANGELES, CA 90039-2005
(323) 666-1544
(323) 666-9584
Mailing address
3002 ROWENA AVE, LOS ANGELES, CA 90039-2005
(323) 666-1544
(323) 666-9584
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18588J
—
CA
Enumeration date
02/07/2013
Last updated
02/07/2013
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