| NPI | 1144214628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WINTNER Manager 323-651-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 940000045) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2014-07-18 |