| NPI | 1821664343 |
|---|---|
| Doing Business As | ASPEN SIESTA |
| 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 |