| NPI | 1144647512 |
|---|---|
| Doing Business As | LOGAN'S HOME |
| Entity Type | Organization |
| Authorized Contact | PHILLIP CLEMENTE ULIT President Owner 714-388-5545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA under process) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |