| NPI | 1144856535 |
|---|---|
| Doing Business As | FRUITVALE HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA W TAETZ President 805-804-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |