| NPI | 1912047556 |
|---|---|
| Doing Business As | JEAN MARTIN HOME #2 |
| Entity Type | Organization |
| Authorized Contact | VICKI ANN BRANDT Owner 916-331-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 100000374) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |