| NPI | 1053803502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. CIMINO Licensee 916-704-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 385600402) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |