| NPI | 1285342378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER OLSEN Owner 949-521-0707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |