| NPI | 1124102512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MILLER Owner/ Administrator 916-482-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 347001481) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-06-24 |