NPI | 1942564653 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS MICHAEL CROWLEY CEO/ Sole Provider 760-815-7064 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA A107750) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2013-10-02 |