| NPI | 1003987546 |
|---|---|
| Doing Business As | WISTERIA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICIA GACETA ZARATE President 510-727-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 020000054) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |