| NPI | 1114173358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE W SHEPHERD Owner 559-298-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 040000491) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |