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 |