| NPI | 1902025901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORTENSE G. CRAWFORD Administration 323-758-3863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 960000988) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-12 |