| NPI | 1629102710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY SANTOS TING President/Administrator/Owner 925-813-1979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 140000706) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-02-24 |