| NPI | 1336494012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIESHA CHARLTON Credentialing Manager 916-470-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NV 20101208611) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |