| NPI | 1639178940 |
|---|---|
| Former Legal Business Name | MEDICREST OF CALIFORNIA, I, INC |
| Entity Type | Organization |
| Authorized Contact | LARRY E BEAR Chief Executive Officer 916-624-6230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 25000010) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-06-10 |