| NPI | 1427348424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN BAZLEY Vice Pres 951-928-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |