NPI | 1699768879 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI VICKERS Vice President 951-652-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 250000190) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2023-12-11 |