| NPI | 1205602182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Ar & Reimb. 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |