| NPI | 1699139352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIDIA FLORICA DEMIAN Administrator 916-753-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 347002299) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |