| NPI | 1467029868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHA CHADHA Owner/Administrator/Sole Member 209-923-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2021-06-05 |