| NPI | 1891148201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FERN FARAG Ota/L 818-274-7478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 224200000) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |