| NPI | 1336632603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DAVID BIGELOW President/CEO 559-901-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 040000115) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-26 |