| NPI | 1750687687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL J. GAPASIN President/CEO 209-481-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |