NPI | 1033190400 |
---|---|
Doing Business As | MADISON CARE CENTER |
Entity Type | Organization |
Authorized Contact | DIANNE FAYE THIBODEAU Administrator 619-444-1107 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 090000071) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2020-08-22 |