| NPI | 1811262108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ANN LEES Owner 909-744-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA HAP159) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |