| NPI | 1588229512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN HUE T VU Administrator 916-747-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251T00000X PACE Provider Organization | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2023-09-06 |