| NPI | 1477055630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN VANGELISTO Director Of Accounts Receivable 949-463-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 080000145) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2025-06-02 |