| NPI | 1376202234 |
|---|---|
| Doing Business As | SAN JACINTO MANOR |
| Entity Type | Organization |
| Authorized Contact | DUSTIN MONROE General Counsel 385-240-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-05-12 |