| NPI | 1790182053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATRECE NICKISHA BROWN Speech Pathologist 858-336-4376 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA LL60026338) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |