NPI | 1336799170 |
---|---|
Doing Business As | SIERRA CARE CLOVIS |
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 |