| NPI | 1508939059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LACAMAN LAITA D.O.N., Owner 619-233-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 090000017) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |