| NPI | 1417654104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CHESLEY Manager 559-782-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-01-30 |