Country Club North

LBN: Boris Management Corp
Country Club North is an health care organization with primary practice located at 654 Lillian Way , Los Angeles CA 90004-1108. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Boris Management Corp can be contacted via phone (323) 856-0161, or through Skuratovich, Boris via phone (323) 610-2841.

Contact Information

Primary practice address
654 Lillian Way Los Angeles CA 90004-1108
Phone: (323) 856-0161
Fax: (323) 464-7041
Website:
Map and Directions
Authorized official contact:
Name: Skuratovich, Boris
Phone: (323) 610-2841

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 197609131 California

Profile Details

NPI number 1407230162
LBN Legal business name Boris Management Corp
DBA Doing business as Country Club North
Authorized official Skuratovich, Boris
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2015
Last updated Jun 20th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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