| NPI | 1922151521 |
|---|---|
| Doing Business As | CASA SAO MIGUEL |
| Entity Type | Organization |
| Authorized Contact | LUCIA E NOIA Owner/CEO 559-485-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 040000340) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-01-26 |