| NPI | 1790971117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLEEN KAY WILSON RN/Nurse Supervisor 619-956-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 452469) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |