| NPI | 1619058120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN ELLEN VANGELISTO Director Of Accounts Receivable 949-463-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI232) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-06-02 |