| NPI | 1053436287 |
|---|---|
| Former Legal Business Name | SPECIAL KIDS HOMES-MAVERICK HOUSE |
| Entity Type | Organization |
| Authorized Contact | LUPE BRYSON Bussiness Office Manager 760-743-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 46989489) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-09-09 |