| NPI | 1205826906 |
|---|---|
| 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 |