| NPI | 1518016856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HOLDSWORTH Vice President Of Administrations C 415-600-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 220000197) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-01-20 |