| NPI | 1972024420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA LISETTE HARRELL Nurse Administrator/Owner 951-640-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 550003868) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |