| NPI | 1386631091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUHN SORIANO CAYABYAB Administrator 626-798-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |