| NPI | 1508035130 |
|---|---|
| Doing Business As | BROOKHAVEN ROAD |
| Entity Type | Organization |
| Authorized Contact | JUANITA RETTINGHAUS Executive Administrator 619-267-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |