| NPI | 1508295478 |
|---|---|
| Doing Business As | FRUITVALE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KAM MCGAVOCK President 410-773-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |