| NPI | 1669759569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE D DIAZ Registered Nurse 323-496-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 808047) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |