Organization
LOS FELIZ HEALTHCARE CENTER, LLC
Active
Other names
Country Villa Los Feliz Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL A PETTERSON (VP BUSINESS SERVICES)
(323) 596-2145
Entity
Organization
Contact information
Practice address
3002 ROWENA AVE, LOS ANGELES, CA 90039-2005
(323) 666-1544
(323) 666-9584
Mailing address
3002 ROWENA AVE, LOS ANGELES, CA 90039-2005
(323) 666-1544
(323) 666-9584
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18588J
—
CA
Enumeration date
02/07/2013
Last updated
02/07/2013
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