| NPI | 1760731244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIONIS President 949-400-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA C2943567) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CA C2943567) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |