| NPI | 1114795309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMPSON Managing Partner 619-602-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |