| NPI | 1821743766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANN MALLARI-PADERNA Secretary 650-580-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |