| NPI | 1376607929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE G TAMPUS Owner 916-631-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 340312905) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-06-24 |