- Enrollment id
- O20091113000102
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1942537907
- Multiple npi flag
- N
- Ccn
- 056438
- Associate id
- 9830237700
- Organization name
- FLOWER VILLA, INC.
- Doing business as name
- N/A
- Incorporation date
- 2007-11-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- FLOWER VILLA, INC
- Affiliation entity name
- ROLLINS-NELSON HEALTHCARE MANAGEMENT
- Affiliation entity id
- 456
- Address line 1
- 1480 S LA CIENEGA BLVD
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900353715