| NPI | 1982703831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL KEVIN FALLS Mhicm Case Manager 858-552-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 343025) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 343026) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 343026) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |