| NPI | 1437312055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN D WIMBERLY Lvn 916-392-6216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: CA VN154685) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |