NPI | 1912072554 |
---|---|
Doing Business As | KYAKAMEENA CARE CENTER |
Entity Type | Organization |
Authorized Contact | PAT PODDATOORI Owner 510-677-3566 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 02 0000055) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2017-04-28 |