| NPI | 1710918644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVETTI BEATRICE OSSOME CEO 916-427-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 080-0004266) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 08-00004266) |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 08-000042666) | |
| 314000000X Skilled Nursing Facility (Licence: CA 08-00004266) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-12-18 |