| NPI | 1316315146 |
|---|---|
| Doing Business As | CHENEY HOME ICF-DD/N |
| Entity Type | Organization |
| Authorized Contact | RITA I REGINALDO-ROXAS RN/Administrator 510-861-2635 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 550002962) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |