| NPI | 1003283722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA IRENE REGINALDO-ROXAS RN/Administrator 510-861-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 550001210) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |