| NPI | 1730128174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Reimbursement 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2025-05-20 |