| NPI | 1114021763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W DAVIS Owner CEO 559-271-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 040000503) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |