| NPI | 1821582297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WAH Owner 667-367-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |