NPI | 1053892232 |
---|---|
Entity Type | Organization |
Authorized Contact | KANDICE VERGARA Administrator 310-413-8717 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197609076) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-08-24 |