| NPI | 1700935509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA BETH DUKE Licensee President 209-969-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 55G165) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-11-07 |