| NPI | 1922027002 |
|---|---|
| Doing Business As | ELMHAVEN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 4935510011) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |