| NPI | 1235281304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ALLEN Owner Licensee 559-432-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 040000511) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |