| NPI | 1760587562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALWINDER KAUR MULTANI Staff Physician 909-825-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA A 50535) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA A50535) |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA A50535) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-09-06 |