| NPI | 1104249408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MCNULTY Administrator 818-304-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2015-05-27 |