| NPI | 1205224334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R ANGEL President / Administrator 510-289-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |