| NPI | 1679558175 |
|---|---|
| Doing Business As | FIRESIDE CONVALESCENT HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MARC JOHNSON CFO 949-373-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 910000048) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-04-05 |