NPI | 1740214709 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY JANE RACCIATO President 858-751-0209 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CA 080000398) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |