| NPI | 1700335692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDI WU Administrator 916-388-8328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 347005362) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2017-03-09 |