NPI | 1922123157 |
---|---|
Former Legal Business Name | SPECIAL KIDS HOMES-HALBROOK HOUSE |
Entity Type | Organization |
Authorized Contact | LUPE BRYSON Business Office Manager 760-743-3714 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 46989489) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-12-26 |