| NPI | 1578559480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M SHIELDS CEO President 510-724-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 140000139) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-09-23 |