| NPI | 1053685669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYCE ROBLES Administrator 916-801-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347004374) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |