# SUNSET VILLA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598479420
- **Authorized official:** DAVID GARETZ (CFO)
- **Authorized official phone:** (323) 987-5954

## Contact information

- **Practice address:** 1515 S SUNSET AVE, ROSWELL, NM 88203-2628
- **Practice address phone:** (575) 623-7097
- **Mailing address:** 4525 WILSHIRE BLVD STE 210, LOS ANGELES, CA 90010-3846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2023
- **Last updated:** 01/05/2023
