| NPI | 1407622186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE VERIDIANO President 650-216-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |