| NPI | 1659952794 |
|---|---|
| Other Name | ARVALO HOME-SHADOWRUN |
| Entity Type | Organization |
| Authorized Contact | KARLA DINO AREVALO Secretary 510-386-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |