| NPI | 1861480097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL H BARRON Administrator 323-663-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000031) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-12-29 |