Organization
VILLA MANOR CARE CENTER, INC.
Active
Other names
Villa Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S SMITH (CHIEF FINANCIAL OFFICER)
(559) 784-5900
Entity
Organization
Contact information
Practice address
350 N VILLA ST, PORTERVILLE, CA 93257-3211
(559) 784-6644
Mailing address
PO BOX 1479, PORTERVILLE, CA 93258-1479
(559) 784-5900
(559) 784-0101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05551I
—
CA
Enumeration date
04/03/2007
Last updated
07/24/2007
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