| NPI | 1538169818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PLATTE Executive Director 408-621-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 2301) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2025-12-11 |