NPI | 1134494826 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY BLITZ Interim Manager 619-447-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 090000097) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2012-03-14 |