| NPI | 1639857782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD VANCE Owner 916-529-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |