| 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 |