NPI | 1437369808 |
---|---|
Entity Type | Organization |
Authorized Contact | REYNALDO QUEDADO President 408-929-5580 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA LTC61066F) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |