| NPI | 1700973963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J PATTEN Accounts Receivable Supervisor 619-441-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 08000361) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2013-12-20 |