| NPI | 1699292896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DAVID BIGELOW President 559-901-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 020426) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |