| NPI | 1508265414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ANDREW PONTICIELLO President 559-539-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 550003154) |
| 311Z00000X Custodial Care Facility (Licence: CA 550003154) | |
| 315D00000X Hospice, Inpatient (Licence: CA 550003154) | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2016-07-29 |