| NPI | 1275702334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVID WINANS Administrator 559-299-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |