NPI | 1821664343 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA CASSIE PONTECORVO Director Of Operations 619-948-6611 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-06-03 |