NPI | 1043050339 |
---|---|
Entity Type | Organization |
Authorized Contact | MALIAS LAKE ANDREWS Owner/Administrator 909-750-0292 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2024-05-25 |
Last Update Date | 2024-05-25 |