| NPI | 1306526819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OFFIAH Administrator 916-856-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |