| NPI | 1356581318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR FLORES GONZALES Owner 559-289-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-07-21 |