NPI | 1366643603 |
---|---|
Doing Business As | SAME |
Entity Type | Organization |
Authorized Contact | GRETCHEN REYNOLDS Administrator 951-688-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 250000135) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2010-05-14 |