| 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 |