NPI | 1285860130 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY LINA C. DIEGO Administrator 650-504-8381 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 550000747) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2009-06-05 |