| NPI | 1558933846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA VERGARA Owner/Manager 916-230-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |