NPI | 1205826906 |
---|---|
Doing Business As | PINERIDGE CARE CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN PAVLOW Administrator Owner 818-361-0191 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA ZZT06382L) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2020-08-22 |