| NPI | 1043972185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AKINOLA POPOOLA Director 408-674-8679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |