| NPI | 1003395278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DAVID BIGELOW President/CEO 559-901-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 12679) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |