| NPI | 1336799170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ANDREW PONTICIELLO President 559-539-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |