| NPI | 1679799894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M DEARING Owner 916-205-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WY 07-134) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-13 |