| NPI | 1316297013 | 
|---|---|
| Doing Business As | RIDECREST HEALTHCARE | 
| Entity Type | Organization | 
| Authorized Contact | LEE SAMSON Managing Member, Windsor Omg Holdin 310-385-1090 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility | 
| Enumeration Date | 2012-09-11 | 
| Last Update Date | 2013-04-30 |