# TIL LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellagio in the Desert
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043689904
- **Authorized official:** TATYANA KRIVITSKY (GENERAL PARTNER)
- **Authorized official phone:** (818) 371-3474

## Contact information

- **Practice address:** 2639 WEST AVE K4, LANCASTER, CA 93536
- **Practice address phone:** (661) 526-0110
- **Mailing address:** 4221 COLFAX AVE. \#F, STUDIO CITY, CA 91604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550003204 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2015
- **Last updated:** 03/03/2017