| NPI | 1386034783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELLAINE RENEE HINUNANGAN Administrator 1559-385-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |