NPI | 1891983730 |
---|---|
Entity Type | Organization |
Authorized Contact | LOLITA TUVERA REYES President 909-709-2045 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA EM018A) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2011-12-21 |