| NPI | 1629158597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA KAPLOW Administrator 916-481-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 030000050) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-05-27 |