| NPI | 1538492830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JARED BRADSHAW Secretary/VP Operations 657-464-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-12-14 |