| 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 |