| NPI | 1003360124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOKE AHANKOOB President 818-402-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197607542) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |