NPI | 1033640008 |
---|---|
Former Legal Business Name | CHEZ BON GUEST HOME |
Entity Type | Organization |
Authorized Contact | MARCIA RUBIN Officer Of The Corporation 213-453-9882 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 197800441) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |