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 |