| NPI | 1083759500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CHARLES ELLIOTT Administrator 213-380-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000069) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-06-18 |