| NPI | 1285821272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELCHOR G. TUPAS RN Administrator 209-478-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |