| NPI | 1831573856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL Secretary 385-988-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 920000019) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-08-19 |