| NPI | 1063640597 |
|---|---|
| Doing Business As | WISTERIA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JULIANA ULEP TABURAZA Vice President 510-673-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-06-25 |