Organization
TIL LP
Active
Other names
Bellagio in the Desert
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KRIVITSKY (GENERAL PARTNER)
(818) 371-3474
Entity
Organization
Contact information
Practice address
2639 WEST AVE K4, LANCASTER, CA 93536
(661) 526-0110
Mailing address
4221 COLFAX AVE. #F, STUDIO CITY, CA 91604
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550003204
CA
Other
Enumeration date
09/22/2015
Last updated
03/03/2017
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