NPI | 1235964560 |
---|---|
Entity Type | Organization |
Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2024-09-05 |
Last Update Date | 2025-05-12 |