NPI | 1750592119 |
---|---|
Entity Type | Organization |
Authorized Contact | BEEBE TUPAZ Owner 408-377-1622 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA LTC80170G) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2009-04-10 |