| NPI | 1790140101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANE FAUSTINE SALAMANCA Physical Therapist 661-706-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 4441) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |