| NPI | 1699048553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BAHR Physical Therapist 916-983-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |