| NPI | 1417582586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHARLES COX III Owner 951-727-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-13 |