| NPI | 1033696414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATALINA MONTALVO ALVENDIA Owner 775-200-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |