| NPI | 1053311225 |
|---|---|
| Doing Business As | WINE COUNTRY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL G GROSS Administrator/CEO 209-334-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 100000044) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-08-22 |