| NPI | 1023408929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEYRA SUNGA President 650-892-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |