| NPI | 1962653055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADIS VALERIE PEREYRA-MCGILL Medical Assistant 619-251-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |