| NPI | 1629129267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ERWIN CABLAYAN Director Of Finance 6195-231-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 0800153) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-07-26 |