| NPI | 1295054583 |
|---|---|
| Doing Business As | PADUA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | PETER JOSEPH GASPERONI Director, Managed Care 909-450-0105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 366405765) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |