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 |