| NPI | 1770998080 |
|---|---|
| Doing Business As | MOUNTAIN MANOR SENIOR RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | JAMES FRANCIS JORDAN President 415-250-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 030000067) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 347005580) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2016-04-28 |