| NPI | 1164508180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELROY VANDER LEY Executive Director 562-865-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 940000136) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |