| NPI | 1205968617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL G RACATAIAN RN Iii 951-955-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA RN524630) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |