| NPI | 1255616280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABASSUM MUNIR Clinical Dietitian 510-481-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 943494) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |