| NPI | 1861105488 |
|---|---|
| Doing Business As | EDGEWATER SKILLED NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |