| NPI | 1457372377 |
|---|---|
| Doing Business As | EMMANUEL CONVALESCENT- SAN JOAQUIN |
| Entity Type | Organization |
| Authorized Contact | JOE PADRE Director Of Reimbursement 818-248-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 120000162) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |