| NPI | 1902560014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANN MAPLE-DEAVER Recuperative Care Director 209-320-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251X00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |