NPI | 1194195164 |
---|---|
Doing Business As | COLLEGE VISTA CONVALESCENT HOSPITAL |
Entity Type | Organization |
Authorized Contact | RICHARD RUSSAKOFF VP Of Business Affairs 714-577-3880 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000044) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2015-10-02 |