| NPI | 1043300320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON SANTOS JACINTO Owner 916-725-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 347000955) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2008-07-08 |