NPI | 1407660277 |
---|---|
Entity Type | Organization |
Authorized Contact | SAIFUDDIN RANIWALA Member 209-612-8194 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-02-03 |