| NPI | 1568003176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLISHA RUTHIE SIMMONS Operating Director 559-797-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |