NPI | 1962557819 |
---|---|
Doing Business As | CRESCENT BAY CONVALESCENT HOSPITAL |
Entity Type | Organization |
Authorized Contact | BAHADOOR MIKHAK LLC Managing Member 310-394-3726 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 910000035) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |