| NPI | 1376625889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE EPPERSON Administrator 559-268-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CA 040000200) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |