NPI | 1417323486 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANDRA G RAJ Owner 559-291-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 107200829) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2015-08-13 |