| NPI | 1447847793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA DINO AREVALO Owner 510-386-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2021-01-31 |