| 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 |