| NPI | 1497140222 |
|---|---|
| Doing Business As | OAK FENCE CONGREGATE LIVING HEALTH FACILITY |
| Entity Type | Organization |
| Authorized Contact | THAN THAN AYE President 909-967-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 550002982) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-05-19 |