| NPI | 1073503074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN DONOHOE Administrator 818-361-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 920000084) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |