| NPI | 1326452665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE MONIQUE PARKER Lvn 619-715-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA B4442729) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2014-06-15 |