Organization
PALOS VERDES VILLA RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH BIENSTOCK (EXECUTIVE DIRECTOR)
(310) 308-4215
Entity
Organization
Contact information
Practice address
29661 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1314
(310) 547-9941
(310) 547-9565
Mailing address
29661 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1314
(310) 547-9941
(310) 547-9565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
198201933
CA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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