Organization
VISTA DEL SOL LTC, INC.
Active
Other names
Vista Del Sol Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOV EDWARD JACOBS (PRESIDENT)
(310) 390-9045
Entity
Organization
Contact information
Practice address
11620 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5916
(310) 390-9045
(310) 391-8738
Mailing address
11620 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5916
(310) 390-9045
(310) 391-8738
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000037
CA
Other
Enumeration date
05/11/2015
Last updated
06/01/2016
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