| NPI | 1003374059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMBERTO VALIENTE Administrator/Director Of Nursing 800-811-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |