| NPI | 1003001199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA CORPUZ ALMUETE RN 619-956-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 461705) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |