| NPI | 1992321392 |
|---|---|
| Doing Business As | THE CONVALARIUM |
| Entity Type | Organization |
| Authorized Contact | R. BRIAN HAZELBAKER Secretary 949-499-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |