| NPI | 1396813465 |
|---|---|
| Doing Business As | SAN MIGUEL VILLA |
| Entity Type | Organization |
| Authorized Contact | VELDA PIERCE Executive Administrator 925-825-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 140000186) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: CA 140000186) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 140000186) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-03-24 |