| NPI | 1205903176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUBA RADOJKOVICH Administrator 559-251-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 040000081) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-07-30 |