| NPI | 1588658959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN S. CARTER Administrator 415-922-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 220000044) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-22 |