| NPI | 1689105645 |
|---|---|
| Doing Business As | DESTINY CARE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | MARCY A VAUGHAN Contract Manager 951-743-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-08-02 |