| NPI | 1053193326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES ROGERS DECENZO President/CFO 714-296-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |