| NPI | 1881152031 |
|---|---|
| Doing Business As | PACIFIC GROVE HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD MARTIN Manager 619-402-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |