| NPI | 1932404555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA QUEDADO DOOLABH Corporate Officer 408-390-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |