| NPI | 1063106136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANIFAH NABAKOOZA Owner/Member 818-853-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |