| NPI | 1710242342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LUCZYNSKI Owner Dentist 619-794-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 59349) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 59349) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 59349) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-08-27 |