| NPI | 1992258230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY BEA OLIVES Registered Nurse 951-249-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 555705) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |