| NPI | 1013367002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA C. DINEROS Director Medical Services Bureau 213-893-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 31791) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |