NPI | 1053423749 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD MCDONALD Administrator 909-793-1382 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 240000323) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2010-08-04 |