NPI | 1104363795 |
---|---|
Doing Business As | COASTAL INJURY CARE CENTER |
Entity Type | Organization |
Authorized Contact | ELIANNA Z. REUBEN CEO 949-244-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2017-01-20 |
Last Update Date | 2022-01-31 |