| NPI | 1497158695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN T. SISAYAN CEO, Administrator 916-686-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 347004226) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |