| NPI | 1093384489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CORTLAND GREEN Owner 949-397-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |