| NPI | 1417009507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY E GAPASIN President 209-607-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |