Organization
RRT ENTERPRISES LP
Active
Other names
Country Villa North Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN E. REISSMAN (MANAGING MEMBER OF GENERAL PARTNER)
(310) 574-3733
Entity
Organization
Contact information
Practice address
3233 W PICO BLVD, LOS ANGELES, CA 90019-3640
(323) 734-9122
(323) 734-1427
Mailing address
400 EXCHANGE STE 140, IRVINE, CA 92602-1343
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05025H
—
CA
Enumeration date
09/02/2005
Last updated
08/30/2022
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