| NPI | 1891118444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREMA PHILIP THEKKEK Secretary/VP 707-330-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 120000162) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-05-19 |