NPI | 1659424745 |
---|---|
Doing Business As | INTERCOMMUNITY CARE CENTER |
Entity Type | Organization |
Authorized Contact | RUSSELL BOYDSTON Administrator 562-427-8915 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 940000098) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |