NPI | 1871529867 |
---|---|
Entity Type | Organization |
Authorized Contact | PETE STONG Governing Body 1323-223-3441 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000054) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2011-09-08 |