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 |