NPI | 1619294899 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK MILLER Administrator 951-652-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 250000190) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2010-04-27 |