Villa Camilla Llc

NPI 1750785572 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1750785572
Enumeration Date 10/22/2014
Last Updated 03/25/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MATTHEW MATTHEW
Position MANAGING MEMBER
Phone (562) 491-2797
Fax (562) 491-0945
Practice Location
723 E 9TH ST
LONG BEACH CA, 90813-4611, US
Phone (562) 491-2797
Fax (562) 491-0945
Business Location
723 E 9TH ST
LONG BEACH CA, 90813-4611, US
Phone (562) 491-2797
Fax (562) 491-0945
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Villa Camilla Llc NPI is 1750785572, taxonomy code is 314000000X Villa Camilla Llc physically located at 723 E 9th St, Long Beach CA, 90813-4611. NPI Number 1033115704 has the healthcare provider type.

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1750785572 NPI number is provided on an as is basis without warranty of any kind. 1750785572 is maintained by the National Plan & Provider Enumeration System. The contents of Villa Camilla Llc are for informational purposes only.