Organization
CENTINELA GRAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI P. ROLLINS RN (VICE-PRESIDENT)
(951) 657-2135
Entity
Organization
Contact information
Practice address
2225 N. PERRIS BLVD., PERRIS, CA 92571-4513
(951) 657-2135
(951) 657-0548
Mailing address
2225 N. PERRIS BLVD., PERRIS, CA 92571-4513
(951) 657-2135
(951) 657-0548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250000222
—
CA
Enumeration date
02/26/2010
Last updated
03/12/2012
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