| 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 |