| NPI | 1902329782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRADSHAW Manager 949-347-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 10000354) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |