| NPI | 1558938431 |
|---|---|
| Doing Business As | PELICAN RIDGE POST ACUTE |
| Entity Type | Organization |
| Authorized Contact | DAVID JOHNSON CEO 310-266-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |