| NPI | 1629128020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHALICH Administrator 415-931-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 220000032) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-06-18 |