| NPI | 1104003763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN LAVERN THOMPSON L.V.N 951-485-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CA VN129832) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |