| NPI | 1992027049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN-MICHAEL RIVERA NAVARRO Physical Therapy Assistant 510-396-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 8113) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |