| NPI | 1063284628 |
|---|---|
| Doing Business As | PENNY'S GUEST HOME, LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEFINA GARDNER Licensee 925-286-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |