| NPI | 1336673144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO BALBIN SORIANO Speech Language Pathologist 510-862-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 10292) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |