NPI | 1790949303 |
---|---|
Doing Business As | SILVER STAR ICF/DDN |
Entity Type | Organization |
Authorized Contact | FE O PUNZALAN Administrator 408-592-6183 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: CA 550000428) |
Enumeration Date | 2008-07-12 |
Last Update Date | 2008-07-12 |