| NPI | 1710419114 |
|---|---|
| Doing Business As | WIDE HORIZONS INTERMEDIATE CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-05-01 |