| NPI | 1245212174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY WONG Administrator 415-647-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 220000113) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-08-14 |