| NPI | 1003213950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MUTKA Owner 951-961-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 374603523) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |