| NPI | 1538429253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIETTE A ASTORGA Licensee 916-662-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |