| NPI | 1174695175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD O. DEHAAN Administrator 562-426-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA ZZT05364F) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-11-07 |