Country Club South

LBN: T Michael, Llc
Country Club South is an health care organization with primary practice located at 3267 Country Club Dr , Los Angeles CA 90019-3606. 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. T Michael, Llc can be contacted via phone (323) 876-6370, or through Coury, Timothy M via phone (323) 876-6370.

Contact Information

Primary practice address
3267 Country Club Dr Los Angeles CA 90019-3606
Phone: (323) 876-6370
Fax: (323) 957-9792
Website:
Map and Directions
Authorized official contact:
Name: Coury, Timothy M NHA
Phone: (323) 876-6370

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 197602853 California

Profile Details

NPI number 1306070263
LBN Legal business name T Michael, Llc
DBA Doing business as Country Club South
Authorized official Coury, Timothy M NHA
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2009
Last updated May 7th, 2009 - about 16 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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