NPI | 1134102809 |
---|---|
Doing Business As | GLENBROOK |
Entity Type | Organization |
Authorized Contact | ELWOOD J WILSON Chief Operating Officer 760-704-6255 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 080000786) |
Enumeration Date | 2005-11-27 |
Last Update Date | 2019-06-19 |