NPI | 1235795972 |
---|---|
Doing Business As | THE TERRACE AT MT. OGDEN |
Entity Type | Organization |
Authorized Contact | SOON BURNAM Authorized Representative 949-540-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2019-05-17 |
Last Update Date | 2021-03-02 |