| NPI | 1427057405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON D BAILEY Administrator 559-251-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 100490817) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 100400622) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-05-03 |