| NPI | 1922089119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIL V CONSOLACION Administrator 323-261-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000035) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-04-22 |