| NPI | 1326583501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DUANE SMITH PT A 619-654-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA PTA48085) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |