# VILLA DE LA MAR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bel Vista Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831197235
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 5001 E ANAHEIM ST, LONG BEACH, CA 90804-3214
- **Practice address phone:** (562) 494-5001
- **Practice address fax:** (562) 498-0834
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000013 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 08/20/2024