NPI | 1942206305 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL B JUMONVILLE Executive Vice President 951-682-4833 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 250000118) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA 250000116) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2020-08-22 |