| NPI | 1114100401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA FLORIA ABAKAN L.V.N. 707-980-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA VN101924) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |