| NPI | 1740736198 |
|---|---|
| Doing Business As | CORWIN CONGREGATE LIVING |
| Entity Type | Organization |
| Authorized Contact | SHELLEY LOPEZ President 760-242-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |