| NPI | 1831494673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHARE EDWARDS RN 310-555-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NV RN67139) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |