| NPI | 1659495604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATAP PODDATOORI President 510-677-3566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 020000051) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-01-13 |