| NPI | 1629209192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA JENE LYNCH Nurse 530-519-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA VN46854) |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2009-08-01 |