| NPI | 1972501823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY WRIGHT Administrator 209-368-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 100000111) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2009-12-07 |