| NPI | 1851560916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE PALLANAN BAUTISTA Don 559-704-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2024-02-16 |