| NPI | 1235975186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCCONICO Member/Manager 559-801-8379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |