| NPI | 1619360120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY CAROL Occupational Therapy Assistant 619-325-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 1705) |
| Enumeration Date | 2015-03-07 |
| Last Update Date | 2015-07-28 |