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 |