| NPI | 1700936309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET M. WILSON Nurse Practitioner 916-734-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: CA 11306) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |