| NPI | 1699175364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANOMAY BENJAMIN Nurse Manager 323-343-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 272539) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |