Individual provider · Type 1 NPI
Ma Stephanie Nares Enriquez, ADMINISTRATOR, OWNER
Assisted Living Facility · Pittsburg, CA
NPI number
1336900398
Active
Practice location
1408 Oakmont Pl
Pittsburg, CA 94565-5114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 079201037 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1336900398
Ma Stephanie Nares Enriquez, ADMINISTRATOR, OWNER's National Provider Identifier is 1336900398, issued on Jan 17, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pittsburg, CA. The record was last updated on Jan 17, 2024.