| NPI | 1477728061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMMA D. EUGENIO Licensee/Administrator 707-257-6445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 280108992) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |