| NPI | 1235643198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLARK President 530-891-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-03-17 |