| NPI | 1528204476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MILLER MORAN Lvn 916-383-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA VN69670) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |