| NPI | 1447248075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON POPOVICH Administrator 909-886-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 240000109) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |