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Organization
WOODMAN HEALTHCARE CENTER LLC
Active
Organization
WOODMAN HEALTHCARE CENTER LLC
Active
Other names
Country Villa Woodman Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN REISSMAN (CEO/CHAIRMAN)
(310) 574-3733
Entity
Organization
Contact information
Practice address
13524 SHERMAN WAY, VAN NUYS, CA 91405-2830
(323) 596-2145
(323) 596-4645
Mailing address
5120 W GOLDLEAF CIR STE 400, LOS ANGELES, CA 90056-1297
(323) 596-2145
(323) 596-4645
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05712J
—
CA
Enumeration date
04/11/2012
Last updated
02/07/2013
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